MELISSA WAGGENER MD
NPI 1497358014
Surgery in Fort Worth, TX

Q: What is Melissa Waggener's NPI number?

The NPI number for Melissa Waggener is 1497358014. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Q: What is Melissa Waggener's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Waggener was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 17, 2020PECOS Enrolled

1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-1100 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Jun 10, 2024, Nov 17, 2020 (3 updates tracked since 2020).

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About Melissa Waggener Md NPPES

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

MELISSA WAGGENER MD (NPI 1497358014) is an individual surgery provider in Fort Worth, Texas, licensed in Oklahoma (43590) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497358014

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameMELISSA WAGGENERCredential: MD

Location Address1500 S MAIN STFort Worth, TX 76104-4941

Mailing Address1500 S Main StFort Worth, TX 76104-4941 · (817) 702-1100

Phone(817) 702-1100

Sole ProprietorNo

Enumeration DateNovember 17, 2020

Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1497358014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OK · 43590

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 805977 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1500 S MAIN ST, Fort Worth, TX 76104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Waggener Md 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 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

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