Active NPI 1346549912 Individual Practitioner Male Practitioner

Dr. Zachary D. Van Wagoner , MD

Surgery • Payson, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Zachary Van Wagoner, MD is a certified Surgery practicing in Payson, UT. With approximately 15 years of clinical experience since graduating from Ohio State University College Of Medicine in 2011, Dr. Van Wagoner delivers high-quality medical care to the local community at 1000 E 15 S.

Dr. Van Wagoner is affiliated with Tanner Memorial Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 E 15 S
Ste 350

Payson, UT 846513246

Telephone 8014655602

Fax 8014654480

Associated Practice Facility / Clinic

🏢 Intermountain Healthcare Facility NPI 1326096728

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Payson, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -3.3 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Payson, UT (278 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Wagoner (15 Years) 15 Yrs

Payson Specialty Average (18.3 Years) 18.3 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$165.00	$104.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$220.00	$124.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$67.00	$47.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$165.00	$103.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$220.00	$124.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$60.33	$47.66
49650 Repair of groin hernia using an endoscope	12	12	$1100.00	$381.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$165.00	$103.02
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$115.00	$69.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$165.00	$106.40
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$115.00	$70.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$164.62	$102.33
77067 Screening mammography	21	21	$275.00	$132.39
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	16	16	$260.00	$170.14
77063 Screening digital tomography of both breasts	14	14	$150.00	$53.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$160.00	$99.17
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$110.00	$73.83
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$110.00	$71.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	32	$130.00	$70.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	39	$275.00	$133.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$348.04	$197.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$176.00	$104.47
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1356.43	$503.49
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$117.50	$64.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	34	$130.00	$70.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	43	$275.00	$135.19
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	23	23	$1477.83	$594.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$350.00	$180.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	12	$140.59	$102.86

Medical Specialties & State Licenses

CMS Verified: 2026-04-21

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License UT 9651138-1205

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Tanner Memorial Clinic

2121 N 1700, Layton, UT 840418803

Phone: 8017734840

Secondary Practice Locations

435 N Main St

Kaysville, UT 840371194

Phone: 8014986000

201 W Layton Pkwy Ste 1a

Layton, UT 840413692

Phone: 8015438705

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Spencer Hill , DO

Surgery

NPI 1073176996

Doctor of Osteopathic Medicine (D.O.)

Dr. Matthew Baker , MD

Surgery

NPI 1700881950

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address April 21, 2026

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

✅

NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2017

Registered at 1000 E 15 S, STE 350, PAYSON, UT 846513246 (Tel: 8014655602)

📍

Updated Business Mailing Address March 14, 2017

Registered at 3550 N UNIVERSITY AVE STE 250, PROVO, UT 846046685 (Tel: 8013749625)

👤

Provider Name / Credentials Updated March 14, 2017

Recorded as ZACHARY VAN WAGONER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Surgery (License #9651138-1205 in UT)

✅

NPI Profile Active June 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 02, 2016

Registered at 2040 W CHARLESTON BLVD, STE 302, LAS VEGAS, NV 891022227 (Tel: 7026712273)

📍

Updated Business Mailing Address June 02, 2016

Registered at 2040 W CHARLESTON BLVD, STE 302, LAS VEGAS, NV 891022227 (Tel: 7026712273)

👤

Provider Name / Credentials Updated June 02, 2016

Recorded as ZACHARY VAN WAGONER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2016

Surgery (License #9651138-1205 in UT)

🟢

Initial NPI Registration & Enumeration March 22, 2011

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: 1346549912

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 22, 2011

Last Update: April 21, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.