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HOLDEN M. WAGSTAFF MD
NPI 1154882215
Emergency Medicine in Salt Lake City, UT

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
30 N 1900 E RM 1C026, SALT LAKE CITY, UT 84132(801) 581-2272 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2022, Aug 21, 2020 (2 updates tracked since 2020).

About Holden M. Wagstaff Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLDEN M. WAGSTAFF MD (NPI 1154882215) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (6810542-1205) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital - Salt Lake, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2019).

NPPES Registry Identity

NPI1154882215
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameHOLDEN M. WAGSTAFFCredential: MD
Location Address30 N 1900 E RM 1C026Salt Lake City, UT 84132-0001
Mailing Address30 N 1900 E Rm 1c026Salt Lake City, UT 84132-0001 · (801) 581-2272
Phone(801) 581-2272
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1154882215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in UT · 6810542-1205
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
30 N 1900 E RM 1C026, Salt Lake City, UT 84132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holden M. Wagstaff Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446678130
PECOS Enrollment IDI20220719002264, I20230912000820
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
75 services73 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
49 services48 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital - Salt Lake

Acute Care Hospitals · Salt Lake City, UT
2/5 CMS rating
OwnershipProprietary
CMS Certification Number460003
Location1050 East South TempleSalt Lake City, UT 84102 · Salt Lake County
Emergency services

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA E. PILKERTON MD
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2272
MS. KAYTELIN G. SUSLAVICH MD
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2272
DR. ALICIA PETERSON M.D.
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Salt Lake County (863) 263-4012
JASON DORAIS M.D.
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Salt Lake County (801) 531-2730
DR. FORREST C. WELLS MD
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2272
DAVID Q. TRAC MD, PHD
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2272
NICOLE N. THORNDAL MD
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2272
DR. MATTHEW JAMES STEWART M.D.
Emergency Medicine
30 N 1900 E RM 1C026
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holden Wagstaff's NPI number?

The NPI number for Holden Wagstaff is 1154882215. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Holden Wagstaff located?

Holden Wagstaff practices at 30 N 1900 E Rm 1c026, Salt Lake City, UT 84132. The listed phone number is (801) 581-2272.

What is Holden Wagstaff's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Holden Wagstaff enrolled in Medicare?

Yes. Holden Wagstaff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Holden Wagstaff accept?

Health plans from Blue Cross Blue Shield of Wyoming list Holden Wagstaff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Holden Wagstaff affiliated with any hospitals?

According to CMS data, Holden Wagstaff is affiliated with Holy Cross Hospital - Salt Lake and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Holden Wagstaff was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.