DR. BRIANNE COLLEEN WAGGONER D.O
NPI 1629274774
Emergency Medicine in Mount Clemens, MI
About Dr. Brianne Colleen Waggoner D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRIANNE COLLEEN WAGGONER D.O (NPI 1629274774) is an individual emergency medicine provider in Mount Clemens, Michigan, licensed in Michigan (5101017372) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Mclaren Macomb, and is a graduate of Michigan State University College Of Osteopathic Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Brianne Colleen Waggoner D.o 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.
Medicare Billing Reassignments
5Medicare enrollment records show Brianne Waggoner reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 26 clinicians in this Medicare group
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 32 clinicians in this Medicare group
Marlette, MI 48453
- Reassigned Medicare billing, Michigan enrollment
- 155 clinicians in this Medicare group
Port Sanilac, MI 48469
- Reassigned Medicare billing, Michigan enrollment
- 154 clinicians in this Medicare group
Cass City, MI 48726
- Reassigned Medicare billing, Michigan enrollment
- 156 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Macomb
Acute Care Hospitals · Mount Clemens, MIMarlette Regional Hospital
Critical Access Hospitals · Marlette, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
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 Brianne Waggoner's NPI number?
The NPI number for Brianne Waggoner is 1629274774. It was assigned to this individual provider in the NPPES registry on June 25, 2007.
Where is Brianne Waggoner located?
Brianne Waggoner practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8000.
What is Brianne Waggoner's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Brianne Waggoner enrolled in Medicare?
Yes. Brianne 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.
Which organizations bill Medicare for Brianne Waggoner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brianne Waggoner reassigns Medicare benefits to 5 organizations: Macomb Emergency Physicians PLLC (Mount Clemens, MI), Observation Physicians Of Macomb PLLC (Mount Clemens, MI), Marlette Regional Hospital (Marlette, MI), Deckerville Community Hospital, Inc (Port Sanilac, MI) and Hills & Dales General Hospital, Inc. (Cass City, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brianne Waggoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brianne Waggoner accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Brianne 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.
Is Brianne Waggoner affiliated with any hospitals?
According to CMS data, Brianne Waggoner is affiliated with Mclaren Macomb and Marlette Regional Hospital.
When was this NPI record last updated?
The NPPES record for Brianne Waggoner was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Brianne Colleen Waggoner, D.O · NPI 1629274774
Emergency Medicine physician in Mount Clemens, Michigan. Individual provider, active in the CMS NPPES registry since June 25, 2007.
## Identity
- **NPI:** 1629274774 (Entity type: Individual)
- **Enumerated:** June 25, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5101017372 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1000 HARRINGTON ST, Mount Clemens, MI 48043-2920
- **Phone:** (586) 493-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Macomb Emergency Physicians PLLC (NPI 1609235217, Mount Clemens, MI); Observation Physicians Of Macomb PLLC (NPI 1144855941, Mount Clemens, MI); Marlette Regional Hospital (NPI 1043911449, Marlette, MI); Deckerville Community Hospital, Inc (NPI 1013799469, Port Sanilac, MI); Hills & Dales General Hospital, Inc. (NPI 1952120859, Cass City, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2007
## Record status
- **NPPES last updated:** July 23, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1629274774) · Data from the CMS NPPES public registry.