DR. DAVID BRYAN WAGGONNER M.D.
NPI 1164600342
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Saint Louis Park, MN

Q: What is David Waggonner's NPI number?

The NPI number for David Waggonner is 1164600342. It was assigned to this individual provider in the NPPES registry on February 10, 2008.

Q: What is David Waggonner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for David Waggonner was last updated on December 28, 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.

Active since February 10, 2008PECOS EnrolledAccepts Medicare Assignment

6500 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55426(952) 993-3282 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. David Bryan Waggonner M.d. NPPES

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

DR. DAVID BRYAN WAGGONNER M.D. (NPI 1164600342) is an individual urogynecology and reconstructive pelvic surgery provider in Saint Louis Park, Minnesota, licensed in Minnesota (56763) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Loma Linda University School Of Medicine (2006).

NPPES Registry Identity

NPI1164600342

Entity TypeIndividualMale

Primary Taxonomy207VF0040X

Provider Legal NameDR. DAVID BRYAN WAGGONNERCredential: M.D.

Location Address6500 EXCELSIOR BLVDSaint Louis Park, MN 55426-4702

Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516

Phone(952) 993-3282

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2006

Enumeration DateFebruary 10, 2008

Last NPPES UpdateDecember 28, 2022

NPPES CertifiedDecember 28, 2022

✔ NPI 1164600342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in MN · 56763

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6500 EXCELSIOR BLVD, Saint Louis Park, MN 55426

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Dr. David Bryan Waggonner M.d. 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 ID143353367

PECOS Enrollment IDI20131021000897

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 17

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

1,100 services11 patients

Insertion of temporary bladder tube 51701

This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.

119 services101 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

60 services60 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

47 services40 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

40 services39 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

34 services34 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

34 services34 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

34 services34 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

34 services34 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

30 services30 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

24 services23 patients

Pessary, reusable, non rubber, any type A4562

A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.

23 services22 patients

Irrigation of vagina and/or application of drug to treat infection 57150

This procedure involves gently flushing the internal area with a sterile solution to cleanse it. After cleansing, a medication is applied to help treat any existing infection. This process is performed by a healthcare professional to ensure your comfort and safety.

15 services11 patients

Surgical repair of vaginal defect using an endoscope 57425

This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.

15 services14 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

13 services13 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

11 services11 patients

Partial removal of uterus, tubes, and/or ovaries with retention of cervix using an endoscope, 250.0 g or less 58542

This is a minimally invasive procedure where a small device (endoscope) is used to remove part of the uterus and/or related structures, while leaving the cervix intact. The procedure is performed on a uterus weighing 250.0 g or less.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

NANCY COLE NELSON M.D.

Obstetrics & Gynecology

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3282

DR. KATIE LYNN ANDRINAS MD, MPH

Obstetrics & Gynecology

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3282

CARA HOULE MD

Internal Medicine

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5000

JANET GRAYSON MD

Internal Medicine

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6600

JEFFREY J SHULTZ

Internal Medicine (Cardiovascular Disease)

6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3246

MARY BETH JOHNSON OTR/L

Occupational Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6087

MARY KATHERINE KOSANDA P.T.

Physical Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6014

JENNIFER A DEUTZ P.T.

Physical Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5900

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 David Waggonner's NPI number?

The NPI number for David Waggonner is 1164600342. It was assigned to this individual provider in the NPPES registry on February 10, 2008.

Where is David Waggonner located?

David Waggonner practices at 6500 Excelsior Blvd, Saint Louis Park, MN 55426. The listed phone number is (952) 993-3282.

What is David Waggonner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is David Waggonner enrolled in Medicare?

Yes. David Waggonner 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 David Waggonner accept?

Health plans from HealthPartners and Medica list David Waggonner 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 David Waggonner affiliated with any hospitals?

According to CMS data, David Waggonner is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for David Waggonner was last updated on December 28, 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.