Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. DAVID WAGGONER DO
NPI 1306772587
Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL

Active since June 23, 2026PECOS Enrolled
840 S WOOD ST, CHICAGO, IL 60612(312) 413-1790 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Waggoner Do NPPES

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

DR. DAVID WAGGONER DO (NPI 1306772587) is an individual anatomic pathology & clinical pathology provider in Chicago, Illinois, licensed in Illinois ($$$$$$$$$) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306772587
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. DAVID WAGGONERCredential: DO
Location Address840 S WOOD STChicago, IL 60612-4325
Mailing Address501 E 32nd St Apt 9-0412Chicago, IL 60616-4053 · (317) 775-5841
Sole ProprietorNo
Enumeration DateJune 23, 2026
NPPES CertifiedJune 23, 2026
NPI 1306772587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in IL · $$$$$$$$$
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
840 S WOOD ST, Chicago, IL 60612

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. David Waggoner Do 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 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

Pharmacist (Ambulatory Care)
840 S WOOD ST
CHICAGO, IL 60612
Surgery
840 S WOOD ST, SUITE 417 CSB
CHICAGO, IL 60612
Pharmacist (Pharmacotherapy)
840 S WOOD ST, SUITE 163, CSB
CHICAGO, IL 60612
Pharmacist (Pharmacotherapy)
840 S WOOD ST, SUITE 163 CLINICAL SCIENCES BUILDING
CHICAGO, IL 60612
Internal Medicine (Hematology & Oncology)
840 S WOOD ST, MC-713
CHICAGO, IL 60612
Internal Medicine (Gastroenterology)
840 S WOOD ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
840 S WOOD ST, MC 856
CHICAGO, IL 60612
Pathology (Anatomic Pathology)
840 S WOOD ST
CHICAGO, IL 60612

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 Waggoner's NPI number?

The NPI number for David Waggoner is 1306772587. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is David Waggoner located?

David Waggoner practices at 840 S Wood St, Chicago, IL 60612. The listed phone number is (312) 413-1790.

What is David Waggoner's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is David Waggoner enrolled in Medicare?

Yes. David Waggoner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Waggoner was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.