1. Home
  2. Directory
  3. Maryland
  4. Annapolis
  5. Psychiatry Neurology
  6. NPI Profile

DR. JOHN HARVEY WAGONER M.D., PH.D., MBA
NPI 1245393529
Psychiatry & Neurology - Psychiatry in Annapolis, MD

Active since December 18, 2006Opted out of Medicare · through Apr 1, 2028
133 OLD SOLOMONS ISLAND ROAD, BAYSHORE COUNSELING AND PSYCHOLOGICAL SERVICES, LLC, ANNAPOLIS, MD 21401(410) 266-9747(410) 266-9749 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Harvey Wagoner M.d., Ph.d., Mba NPPES

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

DR. JOHN HARVEY WAGONER M.D., PH.D., MBA (NPI 1245393529) is an individual psychiatry provider in Annapolis, Maryland, licensed in Maryland (D48079) and active in the NPI registry since December 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245393529
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHN HARVEY WAGONERCredential: M.D., PH.D., MBA
Location Address133 OLD SOLOMONS ISLAND ROAD, BAYSHORE COUNSELING AND PSYCHOLOGICAL SERVICES, LLCAnnapolis, MD 21401
Mailing Address133 Old Solomons Island RoadAnnapolis, MD 21401 · (410) 266-9747 · Fax (410) 266-9749
Phone(410) 266-9747
Fax(410) 266-9749
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateDecember 4, 2013
✔ NPI 1245393529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MD · D48079
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologistTaxonomy 103T00000X · License 03283 (MD)
133 OLD SOLOMONS ISLAND ROAD, Annapolis, MD 21401
Open in Google Maps ↗

Other Identifiers 1

Other54297601MD · Bcbs Of Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Harvey Wagoner M.d., Ph.d., Mba has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 2

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

MS. HEIDE ANNE HALIK LCSW-C
Social Worker
133 OLD SOLOMONS ISLAND ROAD, BAYSHORE COUNSELING AND PSYCHOLOGICAL SERVICES, LLC
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-9747
DR. MARK CAMERON GOOD LCSW-C, BCD, PH.D.
Social Worker
133 OLD SOLOMONS ISLAND ROAD, BAYSHORE COUNSELING AND PSYCHOLOGICAL SERVICES, LLC
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-9747

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 John Wagoner's NPI number?

The NPI number for John Wagoner is 1245393529. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is John Wagoner located?

John Wagoner practices at 133 Old Solomons Island Road Bayshore Counseling And Psychological Services, LLC, Annapolis, MD 21401. The listed phone number is (410) 266-9747.

What is John Wagoner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Wagoner enrolled in Medicare?

No. John Wagoner has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Wagoner was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.