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Active NPI 1477634582 Individual Practitioner Female Practitioner

Amanda Mitchell Waggoner , PA-C

Physician Assistant • Williamsburg, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Waggoner, PA-C is a certified Physician Assistant practicing in Williamsburg, VA. With approximately 20 years of clinical experience since graduating from Eastern Virginia Medical School in 2006, Amanda Waggoner delivers high-quality medical care to the local community at 207 BULIFANTS BLVD STE C.

Amanda Waggoner is affiliated with Pariser Dermatology Specialists Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, 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

207 Bulifants Blvd Ste C

Williamsburg, VA 231885732

Telephone 7576226315
Fax 7576227022
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Eastern Virginia Medical School

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Williamsburg, VA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +7.2 yrs vs City Avg
City Avg: 12.8 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
39 Specialists

Practicing in Williamsburg, VA (4432 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waggoner (20 Years) 20 Yrs
Williamsburg Specialty Average (12.8 Years) 12.8 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
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg
9,200 23 $3.30 $1.67
17003 Destruction of precancer skin growth, 2-14 growths
2,538 500 $13.00 $5.47
99213 Established patient office or other outpatient visit, typically 15 minutes
1,598 1,156 $176.00 $74.63
17000 Destruction of skin growth
943 690 $131.50 $41.97
11102 Tangential biopsy of single skin lesion
775 631 $194.50 $79.96
11103 Biopsy of related skin growth, each additional growth
411 253 $97.25 $41.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
350 309 $248.50 $105.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
147 140 $109.50 $46.65
17110 Destruction of up to 14 skin growths
109 107 $221.00 $93.27
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
80 79 $32.25 $13.55
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session
79 45 $264.75 $112.77
11104 Punch biopsy, first skin growth
44 42 $242.00 $101.27
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
34 22 $784.75 $389.20
17004 Destruction of precancer skin growth, 15 or more growths
32 22 $324.25 $138.00
69100 Biopsy of ear
28 28 $184.75 $61.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $215.50 $88.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
12 12 $346.25 $147.57

Medical Specialties & State Licenses

CMS Verified: 2024-06-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110002368

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Pariser Dermatology Specialists Ltd

207 Bulifants Blvd, Williamsburg, VA 231885732

Phone: 7575648535

Pariser Dermatology Specialists Ltd

11842 Rock Landing Dr, Newport News, VA 236064437

Phone: 7575958816

Secondary Practice Locations

11842 Rock Landing Dr Ste 120

Newport News, VA 236064437

Phone: 7575958816

Practice Associates & Co-Workers

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

32 Associated Practitioners
Summer French , PA-C

Physician Assistant

NPI 1073405858

Physician Assistant (Certified)

Analise Hughes , PA-C

Physician Assistant - Medical

NPI 1083068167

Physician Assistant (Certified)

NPI 1083633416

Doctor of Medicine (M.D.)

NPI 1083720767

Doctor of Medicine (M.D.)

NPI 1194936799

Doctor of Osteopathic Medicine (D.O.)

Christopher Roberts , PA-C

Physician Assistant

NPI 1205242146

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location June 24, 2024

Registered at 207 BULIFANTS BLVD STE C, WILLIAMSBURG, VA 231885732 (Tel: 7576226315)

NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2017

Registered at 6160 KEMPSVILLE CIR, SUITE 200 A, NORFOLK, VA 235023933 (Tel: 7576226315)

📍
Updated Business Mailing Address August 30, 2017

Registered at 6160 KEMPSVILLE CIR, SUITE 200 A, NORFOLK, VA 235023933 (Tel: (757) 622-6315)

👤
Provider Name / Credentials Updated August 30, 2017

Recorded as AMANDA WAGGONER, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

Physician Assistant (License #0110002368 in VA)

NPI Profile Active August 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2016

Registered at 6160 KEMPSVILLE CIR, SUITE 200 A, NORFOLK, VA 235023933 (Tel: 7576226315)

📍
Updated Business Mailing Address August 01, 2016

Registered at 6160 KEMPSVILLE CIR, SUITE 200 A, NORFOLK, VA 235023933 (Tel: 7576226315)

👤
Provider Name / Credentials Updated August 01, 2016

Recorded as AMANDA WAGGONER, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2016

Physician Assistant (License #0110002368 in VA)

🟢
Initial NPI Registration & Enumeration October 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: 1477634582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: June 24, 2024
Sole Proprietor: No

Mailing Address

6160 Kempsville Cir, Suite 200 A

Norfolk, VA 235023933

Phone: 7576226315

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.