DR. GARY L WAGONER MD P A
NPI 1225034853
Family Medicine in Cumberland, MD

Q: What is Gary Wagoner's NPI number?

The NPI number for Gary Wagoner is 1225034853. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is Gary Wagoner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Wagoner was last updated on September 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 28, 2005PECOS Enrolled

925 BISHOP WALSH RD, SUITE 4, CUMBERLAND, MD 21502(301) 777-5326(301) 777-0325 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2018, Sep 4, 2018 (2 updates tracked since 2018).

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About Dr. Gary L Wagoner Md P A NPPES

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

DR. GARY L WAGONER MD P A (NPI 1225034853) is an individual family medicine provider in Cumberland, Maryland, licensed in Maryland (D0022181) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225034853

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GARY L WAGONERCredential: MD P A

Location Address925 BISHOP WALSH RD, SUITE 4Cumberland, MD 21502

Mailing Address925 Bishop Walsh RdCumberland, MD 21502-1845 · (301) 777-5326 · Fax (301) 777-0325

Phone(301) 777-5326

Fax(301) 777-0325

Sole ProprietorYes

Enumeration DateJune 28, 2005

Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration

✔ NPI 1225034853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D0022181

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

925 BISHOP WALSH RD, Cumberland, MD 21502

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Other Identifiers 7

Other8814GLMD · Carefirst Bs

OtherP11723MD · Blue Shield Pos

Medicaid189121900MD

Other408113495MD · R.r. Medicare

Other104012109MD · Cigna

Other218706MD · United Health Care

OtherW0230001MD · Federal Bs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary L Wagoner Md P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers11 claims22 services$4.33 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers12 claims12 services$75.26 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers13 claims29 services$31.24 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers11 claims11 services$48.21 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers14 claims14 services$17.19 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers21 claims21 services$14.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 15

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

CONNIE JO MORRIS MSN, CRNP, FNP-BC

Nurse Practitioner (Family)