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DR. ZACHARY D. VAN WAGONER M.D.
NPI 1346549912
Surgery in Payson, UT

Active since March 22, 2011PECOS EnrolledAccepts Medicare Assignment
1000 E 15 S, STE 350, PAYSON, UT 84651(801) 465-5602(801) 465-4480 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Mar 26, 2026, Mar 14, 2017 (3 updates tracked since 2017).

About Dr. Zachary D. Van Wagoner M.d. NPPES

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

DR. ZACHARY D. VAN WAGONER M.D. (NPI 1346549912) is an individual surgery provider in Payson, Utah, licensed in Utah (9651138-1205) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital-davis, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346549912
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ZACHARY D. VAN WAGONERCredential: M.D.
Location Address1000 E 15 S, STE 350Payson, UT 84651-3246
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 465-5602
Fax(801) 465-4480
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2011
Enumeration DateMarch 22, 2011
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1346549912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in UT · 9651138-1205
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 E 15 S, Payson, UT 84651
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Secondary Practice Locations 2

Location 1435 N Main StKaysville, UT 84037-1194 · Phone (801) 498-6000
Location 2201 W Layton Pkwy Ste 1ALayton, UT 84041-3692 · Phone (801) 543-8705

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Zachary D. Van Wagoner M.d. 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 ID1456570787
PECOS Enrollment IDI20160714001640
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

2

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

Ihc Health Services Inc
0.5 mi
Sports Medicine
854 TURF FARM RD, STE 1
Payson, UT 84651
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1023449733 (435) 864-2708
Tanner Memorial Clinic
44 mi
Allergy
5296 S COMMERCE DR
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 270 clinicians in this Medicare group
NPI 1104356013 (801) 773-4840

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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460041
Location1600 West Antelope DriveLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460061
Location201 West Layton ParkwayLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84651 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Zachary Van Wagoner's NPI number?

The NPI number for Zachary Van Wagoner is 1346549912. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Zachary Van Wagoner located?

Zachary Van Wagoner practices at 1000 E 15 S Ste 350, Payson, UT 84651. The listed phone number is (801) 465-5602.

What is Zachary Van Wagoner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Zachary Van Wagoner enrolled in Medicare?

Yes. Zachary Van Wagoner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Zachary Van Wagoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Van Wagoner reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Payson, UT) and Tanner Memorial Clinic (Murray, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Van Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Van Wagoner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Zachary Van Wagoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Zachary Van Wagoner affiliated with any hospitals?

According to CMS data, Zachary Van Wagoner is affiliated with Holy Cross Hospital-Davis and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Zachary Van Wagoner was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.