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Deactivated NPI 1912091984 Deactivated / Inactive NPI Male Practitioner

Dr. John D Wagoner , MD

Internal Medicine • Tacoma, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Wagoner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 03, 2006
NPI Deactivation Date September 16, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Wagoner, MD was a registered Internal Medicine practicing in Tacoma, WA. Throughout an active medical career spanning 15 years, Dr. Wagoner provided care at the practice location at 1717 S J ST until profile deactivation on 2021-09-16.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, follow-up hospital inpatient care per day. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1717 S J St

Tacoma, WA 984054933

Telephone 2534266341
Fax 2534266344
Associated Practice Facility / Clinic
🏢 Franciscan Health System Facility NPI 1952309098

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
273 Specialists

Practicing in Tacoma, WA (3169 Statewide)

Telehealth Adoption Rate
14.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
194 91 $283.37 $101.55
99239 Hospital discharge day management, more than 30 minutes
78 78 $291.35 $105.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes
70 23 $107.16 $38.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
47 35 $195.57 $69.03
99217 Hospital observation care on day of discharge
28 28 $198.18 $72.08
99226 Subsequent observation care, typically 35 minutes per day
11 11 $286.73 $103.84

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00033078

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Jessica Tam , MD

Internal Medicine

NPI 1013106582

Doctor of Medicine (M.D.)

NPI 1013570159

Doctor of Medicine (M.D.)

Dr. David Bhaskar , MD

Obstetrics & Gynecology

NPI 1013925049

Doctor of Medicine (M.D.)

Priscilla James , AGACNP-BC

Nurse Practitioner - Gerontology

NPI 1023570231

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

NPI 1023742780

Doctor of Medicine (M.D.)

Kevin Trippe , ARNP

Nurse Practitioner - Gerontology

NPI 1033721667

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 16, 2021

Record deactivated on September 16, 2021

NPI Profile Active November 17, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 17, 2010

Registered at 1717 S J ST, TACOMA, WA 984054933 (Tel: 2534266341)

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Updated Business Mailing Address November 17, 2010

Registered at 1717 S J ST, TACOMA, WA 984054933 (Tel: 2534266341)

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Provider Name / Credentials Updated November 17, 2010

Recorded as JOHN WAGONER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2010

Internal Medicine (License #MD00033078 in WA)

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Initial NPI Registration & Enumeration October 03, 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: 1912091984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: November 17, 2010
Deactivation Date: September 16, 2021

Mailing Address

1717 S J St

Tacoma, WA 984054933

Phone: 2534266341

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.