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DR. GWENDOLYN FIELD WAGONER M.D.
NPI 1396955589
Otolaryngology in Winston Salem, NC

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
85.84/100
CMS Quality Rating
110 CHARLOIS BLVD, WINSTON SALEM, NC 27103(336) 768-3361 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gwendolyn Field Wagoner M.d. NPPES

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

DR. GWENDOLYN FIELD WAGONER M.D. (NPI 1396955589) is an individual otolaryngology provider in Winston Salem, North Carolina, licensed in North Carolina (2007-00840) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1396955589
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. GWENDOLYN FIELD WAGONERCredential: M.D.
Location Address110 CHARLOIS BLVDWinston Salem, NC 27103-1522
Mailing Address110 Charlois BlvdWinston Salem, NC 27103-1522 · (336) 768-3361
Phone(336) 768-3361
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 31, 2019
✔ NPI 1396955589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NC · 2007-00840
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
110 CHARLOIS BLVD, Winston Salem, NC 27103
Open in Google Maps ↗

Other Identifiers 1

Other2007-00840NC · Nc State Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Dr. Gwendolyn Field 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 ID7416041702
PECOS Enrollment IDI20070918000077
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 11

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
104 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services42 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services24 patients
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.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

85.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.33
Promoting Interoperability99
Improvement Activities40
Cost86.32

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.

MR. RONALD BERNARD SHEALY MD
Otolaryngology
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
WILLIAM COOPER SCURRY JR. M.D.
Otolaryngology
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
MARTHA ANN SCHULTZ PA
Physician Assistant
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
JOSHUA LEE HEMRIC PA-C
Physician Assistant
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
DR. KATHRYN YOUNG AUD
Audiologist
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
KEVIN JAMES SHEFFERLY MMS IN PA STUDIES
Physician Assistant
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361
DR. AMANDA ADAMS ARY AU.D., CCC-A, F-AAA
Audiologist
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-0886
JOHN ANDREW CRENSHAW MD
Otolaryngology
110 CHARLOIS BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3361

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 Gwendolyn Wagoner's NPI number?

The NPI number for Gwendolyn Wagoner is 1396955589. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Gwendolyn Wagoner located?

Gwendolyn Wagoner practices at 110 Charlois Blvd, Winston Salem, NC 27103. The listed phone number is (336) 768-3361.

What is Gwendolyn Wagoner's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Gwendolyn Wagoner enrolled in Medicare?

Yes. Gwendolyn 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.

What insurance does Gwendolyn Wagoner accept?

Health plans from Blue Cross and Blue Shield of NC list Gwendolyn 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 Gwendolyn Wagoner affiliated with any hospitals?

According to CMS data, Gwendolyn Wagoner is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Gwendolyn Wagoner was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.