ERIN ELIZABETH WAGGONER
NPI 1548831803
Physician Assistant in Louisville, KY

Active since July 08, 2021PECOS EnrolledAccepts Medicare Assignment
62.14/100
CMS Quality Rating
3810 SPRINGHURST BLVD STE 200, LOUISVILLE, KY 40241(502) 583-1749 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 8, 2021, Jul 8, 2021 (2 updates tracked since 2021).

About Erin Elizabeth Waggoner NPPES

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

ERIN ELIZABETH WAGGONER (NPI 1548831803) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (TC092) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548831803
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERIN ELIZABETH WAGGONER
Location Address3810 SPRINGHURST BLVD STE 200Louisville, KY 40241-6162
Mailing Address3810 Springhurst Blvd Ste 200Louisville, KY 40241-6162 · (502) 583-1749
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 8, 2021
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
NPI 1548831803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · TC092
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3810 SPRINGHURST BLVD STE 200, Louisville, KY 40241

Accepted 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

Erin Elizabeth Waggoner 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 ID5496152423
PECOS Enrollment IDI20210917001901
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 15

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
974 services143 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
265 services220 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.
244 services204 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
231 services180 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.
138 services119 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.
124 services84 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

62.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.95
Promoting Interoperability0
Improvement Activities40
Cost96.19

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
3810 SPRINGHURST BLVD STE 200
LOUISVILLE, KY 40241
Nurse Practitioner
3810 SPRINGHURST BLVD STE 200
LOUISVILLE, KY 40241
Physician Assistant
3810 SPRINGHURST BLVD STE 200
LOUISVILLE, KY 40241
Student in an Organized Health Care Education/Training Program
3810 SPRINGHURST BLVD STE 200
LOUISVILLE, KY 40241
Physician Assistant
3810 SPRINGHURST BLVD STE 200
LOUISVILLE, KY 40241
Dermatology
3810 SPRINGHURST BLVD STE 200
LOUISVILLE, KY 40241
Physician Assistant
3810 SPRINGHURST BLVD STE 200
LOUISVILLE, KY 40241
Physician Assistant
3810 SPRINGHURST BLVD STE 200
LOUISVILLE, KY 40241

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 Erin Waggoner's NPI number?

The NPI number for Erin Waggoner is 1548831803. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Erin Waggoner located?

Erin Waggoner practices at 3810 Springhurst Blvd Ste 200, Louisville, KY 40241. The listed phone number is (502) 583-1749.

What is Erin Waggoner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Erin Waggoner enrolled in Medicare?

Yes. Erin Waggoner 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 Erin Waggoner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Erin Waggoner 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.

When was this NPI record last updated?

The NPPES record for Erin Waggoner was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.