MRS. TESSA WAGGONER PT NPI 1003033846

Specialist in Oxnard, CA

NPI 1003033846 Individual Female Years of Experience 23 Specialist Accepts Medicare Approved Payment Medicare Quality Reporting

About TESSA WAGGONER

Tessa Waggoner is a provider established in Oxnard, California and her medical specialization is specialist with more than 23 years of experience. The NPI number of Tessa Waggoner is 1003033846 and was assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 24735 (CA). The provider is registered as an individual and her NPI record was last updated 14 years ago. Tessa Waggoner is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: preventive care and screening: body mass index (bmi) screening and follow-up plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003033846

Provider NameMRS. TESSA WAGGONER PT
Provider Location Address1701 SOLAR DR STE. 155 OXNARD, CA 93030
Provider Mailing Address1701 SOLAR DR. STE. 155 OXNARD, CA 93030
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1999
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date04-20-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.24735
License StateCA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

MRS. TESSA WAGGONER PT
1701 SOLAR DR
STE. 155
OXNARD, CA
ZIP 93030
Phone: (805) 604-4644
Fax: (805) 604-4434

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Mailing Address

MRS. TESSA WAGGONER PT
1701 SOLAR DR.
STE. 155
OXNARD, CA
ZIP 93030
Phone: (805) 604-4644
Fax: (805) 604-4434



Medicare Participation

PECOS PAC ID9830085596
PECOS Enrollment IDI20040227000607
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1628Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • 975Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • 972Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • 315Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • 60Physical therapy evaluation (HCPCS:97001)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 53
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326039322MR. LARRY PATRICK BROWN PT
Individual
Physical Therapist1701 SOLAR DR SUITE 155
OXNARD, CA 93030
(805) 604-4644
1598708190DR. MARWOOD M STOUT DDS
Individual
Dentist (Oral and Maxillofacial Surgery)1701 SOLAR DR SUITE 291
OXNARD, CA 93030
(805) 981-8144
1255421707DR. BRYAN RYO FUJII DDS
Individual
Dentist1701 SOLAR DR SUITE 270
OXNARD, CA 93030
(805) 983-3552
1972667178DR. PAUL MARTIN PH.D.
Individual
Clinical Neuropsychologist1701 SOLAR DR SUITE 261
OXNARD, CA 93030
(805) 660-0507
1114047628DR. JAMES P SUTTON M.D.
Individual
Psychiatry & Neurology (Neurology)1701 SOLAR DR SUITE 140
OXNARD, CA 93030
(805) 278-4148
1871710814LARRY BROWN D/B/A COAST PHYSICAL THERAPY SPEC
Organization
Specialist1701 SOLAR DR STE. 155
OXNARD, CA 93030
(805) 604-4644
1255668570 RAY JASON FAJARDO MS, PA-C
Individual
Physician Assistant1701 SOLAR DR SUITE 140
OXNARD, CA 93030
(805) 278-4148
1144340662ENCEPHALOGIC MEDICAL GROUP, INC.
Organization
Psychiatry & Neurology (Neurology)1701 SOLAR DR SUITE 140
OXNARD, CA 93030
(805) 278-4148
1619302767CAWTHON DDS INC.
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)1701 SOLAR DR SUITE 290
OXNARD, CA 93030
(805) 479-8706
1235255258 DAVID G MUSGROVE P.T.
Individual
Physical Therapist1701 SOLAR DR STE 155
OXNARD, CA 93030
(805) 654-8127

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.