DANIEL LEROY WAGGONER M.D. NPI 1558406066
Allergy & Immunology in Mystic, CT
About DANIEL LEROY WAGGONER M.D.
Daniel Waggoner is a provider established in Mystic, Connecticut and his medical specialization is Allergy & Immunology with more than 22 years of experience. He graduated from University Of South Alabama College Of Medicine in 2001. The NPI number of this provider is 1558406066 and was assigned on February 2007. The practitioner's primary taxonomy code is 207K00000X with license number 045087 (CT). The provider is registered as an individual and his NPI record was last updated 7 years ago.
| NPI | 1558406066 |
| Provider Name | DANIEL LEROY WAGGONER M.D. |
| Location Address | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 |
| Location Phone | (860) 536-2995 |
| Mailing Address | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Is Sole Proprietor? | No |
| Enumeration Date | 02-21-2007 |
| Last Update Date | 03-25-2016 |
Daniel Waggoner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Daniel Waggoner is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207K00000X |
| Classification | Allergy & Immunology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 045087 |
| License State | CT |
| Taxonomy Description | An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
23 CLARA DR
SUITE 204
MYSTIC, CT
ZIP 06355
Phone: (860) 536-2995
Fax: (860) 572-0265
Mailing Address
23 CLARA DR
SUITE 204
MYSTIC, CT
ZIP 06355
Phone: (860) 536-2995
Fax: (860) 572-0265
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 1254431349 |
| PECOS Enrollment ID | I20070702000358 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 165Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
- 18Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207KA0200X | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy | 45087 | CT | No |
Taxonomy Description: a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| H76865 | MEDICARE UPIN (02) |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 5 | 8 | 4 | 0 | 6 | 0 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 8 | 0 | 12 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 8 + 0 + 1 + 2 + 0 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1558406066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720065154 | BRUCE A. BERLOW M.D. Individual | Specialist | 23 CLARA DR SUITE 204 MYSTIC, CT 06355 (860) 536-2995 |
| 1265656946 | JENNIFER FELICELLI PA-C Individual | Physician Assistant | 23 CLARA DR MYSTIC, CT 06355 (860) 536-1666 |
| 1003001850 | MAIN MEDICAL-MYSTIC, LLC Organization | Internal Medicine | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 (860) 536-1666 |
| 1013195064 | MRS. LAURA ANN WHITE OTRL Individual | Occupational Therapist | 23 CLARA DR VISIONS SIGHT AND LEARNING CENTER MYSTIC, CT 06355 (860) 572-4805 |
| 1528236932 | MRS. GABRIELLE EDEN PIERCE PA-C Individual | Physician Assistant | 23 CLARA DR SUITE 201 MYSTIC, CT 06355 (860) 536-1666 |
| 1467659227 | DR. ADRIENNE LYNNE MAROLD PARAD M.D. Individual | Family Medicine | 23 CLARA DR SUITE 203 MYSTIC, CT 06355 (860) 464-2028 |
| 1811109259 | COASTAL CHIROPRACTIC & FAMILY WELLNESS CENTRE Organization | Chiropractor (Rehabilitation) | 23 CLARA DR SUITE 105 MYSTIC, CT 06355 (860) 572-7711 |
| 1891417242 | DANIELLE PETROWSKI Individual | Nurse Practitioner (Family) | 23 CLARA DR MYSTIC, CT 06355 (860) 572-5782 |
| 1437611696 | DR. SUNGSIL CHO MD Individual | Family Medicine | 23 CLARA DR MYSTIC, CT 06355 (860) 572-5782 |
Frequently Asked Questions
What is Daniel Waggoner M.D. NPI number?
The NPI number assigned to this healthcare provider is 1558406066, registered as an "individual" on February 21, 2007
Where is Daniel Waggoner M.D. located?
The provider is located at 23 Clara Dr Suite 204 Mystic, Ct 06355 and the phone number is (860) 536-2995
Which is Daniel Waggoner M.D. specialty?
The provider's speciality is Allergy & Immunology
How many years of experience does Daniel Waggoner M.D. have?
The provider has more than 22 years of experience. He graduated from University Of South Alabama College Of Medicine in 2001.
What insurance does Daniel Waggoner M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Daniel Waggoner M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are some of the services provided by Daniel Waggoner M.D.?
The most common procedures or services performed by this practitioner are: Injection of incremental dosages of allergen, 2 or more injections and Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration.
How do I update my NPI information?
The NPI record of Daniel Waggoner M.D. was last updated on February 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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