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LINDSAY WAGGERMAN MD
NPI 1386203339
Family Medicine in Ventura, CA

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
300 HILLMONT AVE, BLDG 340, SUITE 201, VENTURA, CA 93003(805) 652-6100 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, Dec 3, 2025, Jul 18, 2023 and 2 more (5 updates tracked since 2019).

About Lindsay Waggerman Md NPPES

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

LINDSAY WAGGERMAN MD (NPI 1386203339) is an individual family medicine provider in Ventura, California, licensed in California (A181004) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Clearwater Valley Hospital & Clinics, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2019).

NPPES Registry Identity

NPI1386203339
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLINDSAY WAGGERMANCredential: MD
Location Address300 HILLMONT AVE, BLDG 340, SUITE 201Ventura, CA 93003-1651
Mailing AddressPo Box 633Ventura, CA 93002-0633 · (805) 677-5181 · Fax (805) 677-5304
Phone(805) 652-6100
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2019
Enumeration DateJune 12, 2019
Last NPPES UpdateDecember 10, 20255 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1386203339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A181004✔ Licensed in ID · M-16803
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.
300 HILLMONT AVE, Ventura, CA 93003
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lindsay Waggerman Md 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 ID6103293899
PECOS Enrollment IDI20230821001078, I20231102000645
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
94 services42 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.
31 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
23 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131320
Location301 Cedar StreetOrofino, ID 83544 · Clearwater County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

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.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

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.

DANIEL FREITAS
Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-6161
LINDSAY ANN LOFT FNP
Nurse Practitioner (Family)
300 HILLMONT AVE, BLDG 340, STE 401
VENTURA, CA 93003
Ventura County (805) 641-0141
DENNIS J WATSON
Counselor (Mental Health)
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 562-5907
NATHAN BRODIE
Case Manager/Care Coordinator
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-6161
MARY E. RASMUSSEN REG.NURSE
Registered Nurse
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-3200
KAYLEE MICHELLE JONES HANTKE
Student in an Organized Health Care Education/Training Program
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (805) 652-6000
ISABELLA GENEVA CHEN M.D.
Internal Medicine (Hematology & Oncology)
300 HILLMONT AVE, BLDG 340, STE 501
VENTURA, CA 93003
Ventura County (805) 652-6218
DR. LINDA J. LEE MD
Pathology (Anatomic Pathology & Clinical Pathology)
300 HILLMONT AVE
VENTURA, CA 93003
Ventura County (213) 867-7814

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 Lindsay Waggerman's NPI number?

The NPI number for Lindsay Waggerman is 1386203339. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Lindsay Waggerman located?

Lindsay Waggerman practices at 300 Hillmont Ave Bldg 340, Suite 201, Ventura, CA 93003. The listed phone number is (805) 652-6100.

What is Lindsay Waggerman's specialty?

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

Is Lindsay Waggerman enrolled in Medicare?

Yes. Lindsay Waggerman 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.

What insurance does Lindsay Waggerman accept?

Health plans from Moda Health Plan, Inc. list Lindsay Waggerman 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 Lindsay Waggerman affiliated with any hospitals?

According to CMS data, Lindsay Waggerman is affiliated with Clearwater Valley Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Lindsay Waggerman was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.