SCOTT A WAGGONER CRNA
NPI 1336545854
Nurse Anesthetist, Certified Registered in Dallas, TX

Q: What is Scott Waggoner's NPI number?

The NPI number for Scott Waggoner is 1336545854. It was assigned to this individual provider in the NPPES registry on November 11, 2014.

Q: What is Scott Waggoner's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Waggoner was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 11, 2014PECOS EnrolledAccepts Medicare Assignment

88.09/100

CMS Quality Rating

12222 MERIT DR STE 600, DALLAS, TX 75251(972) 715-5000(972) 715-9976 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2024, Mar 24, 2017 (2 updates tracked since 2017).

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About Scott A Waggoner Crna NPPES

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

SCOTT A WAGGONER CRNA (NPI 1336545854) is an individual nurse anesthetist, certified registered in Dallas, Texas, licensed in Texas (1138853) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Northwest, and maintains a secondary practice location in Loves Park.

NPPES Registry Identity

NPI1336545854

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameSCOTT A WAGGONERCredential: CRNA

Location Address12222 MERIT DR STE 600Dallas, TX 75251-3294

Mailing Address2202 Harlem RdLoves Park, IL 61111-2754 · (815) 877-4848 · Fax (815) 636-6125

Phone(972) 715-5000

Fax(972) 715-9976

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 11, 2014

Last NPPES UpdateMay 6, 20242 updates tracked since enumeration

NPPES CertifiedMay 6, 2024

✔ NPI 1336545854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in TX · 1138853✔ Licensed in IL · 209.012327

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041.425396 (IL)

12222 MERIT DR STE 600, Dallas, TX 75251

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Secondary Practice Location 1

Location 12202 Harlem RdLoves Park, IL 61111-2754 · Phone (815) 877-4848 · Fax (815) 636-6125

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott A Waggoner Crna 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 ID5193041317

PECOS Enrollment IDI20240503002688

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.

Medicare Billing Reassignments

Medicare enrollment records show Scott Waggoner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northstar Anesthesia Of Illinois, LLC

21 mi

Anesthesiology

2000 E LAMAR BLVD STE 400
Arlington, TX 76006

Reassigned Medicare billing, Illinois enrollment
735 clinicians in this Medicare group

NPI 1962822395 (817) 583-7421

U. S. Anesthesia Partners Of Texas, P.A.,

230 mi

Anesthesiology

1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
3,804 clinicians in this Medicare group

NPI 1548208564 (877) 361-1809

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

18 services18 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

15 services15 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

15 services15 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Seton Northwest

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450867

Location11113 Research BoulevardAustin, TX 78759 · Travis County

Emergency services Birthing friendly

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670041

Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County

Emergency services Birthing friendly

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number670043

Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

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.

88.09/100

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

Scored as part of a group practice

Quality

Improvement Activities

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.

MRS. CHARITY CABRERA MAGCALAS CRNA

Nurse Anesthetist, Certified Registered