TAMMY SUE WAGONER
NPI 1174278527
Physical Therapist - Orthopedic in Tulsa, OK

Q: What is Tammy Wagoner's NPI number?

The NPI number for Tammy Wagoner is 1174278527. It was assigned to this individual provider in the NPPES registry on February 15, 2022.

Q: What is Tammy Wagoner's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Wagoner was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 15, 2022Accepts Medicare Assignment

54.84/100

CMS Quality Rating

4802 S 109TH EAST AVE, TULSA, OK 74146(918) 392-1513(918) 392-1488 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tammy Sue Wagoner NPPES

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

TAMMY SUE WAGONER (NPI 1174278527) is an individual orthopedic provider in Tulsa, Oklahoma, licensed in Oklahoma (2175) and active in the NPI registry since February 2022. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1174278527

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameTAMMY SUE WAGONER

Location Address4802 S 109TH EAST AVETulsa, OK 74146-5822

Mailing Address4802 S 109th East AveTulsa, OK 74146-5822 · (918) 392-1513 · Fax (918) 392-1488

Phone(918) 392-1513

Fax(918) 392-1488

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateFebruary 15, 2022

NPPES CertifiedFebruary 15, 2022

✔ NPI 1174278527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in OK · 2175

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

4802 S 109TH EAST AVE, Tulsa, OK 74146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.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

Tammy Sue Wagoner 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 ID2062807001

PECOS Enrollment IDI20220310000010

Areas of Expertise CMS Part B claims 5

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

146 services24 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

97 services24 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

90 services22 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

57 services15 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

18 services18 patients

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.

54.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

49.43

Promoting Interoperability

Improvement Activities

Cost

40.05

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.

DR. WESLEY M STOTLER DO

Orthopaedic Surgery (Foot and Ankle Surgery)