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Active NPI 1285686139 Individual Practitioner Male Practitioner

Dr. Chad Michael Waggoner , OD

Optometrist • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Chad Waggoner, OD is a certified Optometrist practicing in Providence, RI. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Waggoner delivers high-quality medical care to the local community at 891 WESTMINSTER ST.

Dr. Waggoner is affiliated with Neil W Mcallister Od Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

891 Westminster St

Providence, RI 029034020

Telephone 4013317850
Fax 4012744739
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Providence, RI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +9.8 yrs vs City Avg
City Avg: 16.2 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
65 Specialists

Practicing in Providence, RI (280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waggoner (26 Years) 26 Yrs
Providence Specialty Average (16.2 Years) 16.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
65 65 $147.97 $131.24
92250 Photography of the retina
36 36 $84.67 $38.76
99213 Established patient office or other outpatient visit, typically 15 minutes
17 17 $113.59 $93.86
92004 New patient complete exam of visual system
11 11 $162.00 $155.68

Medical Specialties & State Licenses

CMS Verified: 2023-06-27
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License RI ODTG00743

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License WA OD00003598

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Neil W Mcallister Od Pc

6160 Tutts Blvd, Colorado Springs, CO 809233502

Phone: 7195985068

Secondary Practice Locations

161 W 200 N Ste 200

Saint George, UT 847707386

Phone: 4356524040

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1083098156

Doctor of Optometry

NPI 1124028378

Doctor of Optometry

NPI 1184355836

Doctor of Optometry

NPI 1235369349

Doctor of Optometry

NPI 1245430800

Doctor of Optometry

NPI 1346802568

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 27, 2023

Registered at 891 WESTMINSTER ST, PROVIDENCE, RI 029034020 (Tel: 4013317850)

📍
Updated Practice Location June 11, 2021

Registered at 161 W 200 N STE 200, SAINT GEORGE, UT 847707386 (Tel: 4356524040)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 345 COLLEGE ST SE, LACEY, WA 985031013 (Tel: 3604563200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2915 BENJAMIN CT SE, OLYMPIA, WA 985014807 (Tel: 3607542817)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHAD WAGGONER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #OD00003598 in WA)

🟢
Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285686139
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: June 27, 2023
Sole Proprietor: No

Mailing Address

2915 Benjamin Ct Se

Olympia, WA 985014807

Phone: 3607542817

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.