MR. ERIC MATTHEW WAGONER PA-C
NPI 1649603036
Physician Assistant in Fresno, CA

Q: What is Eric Wagoner's NPI number?

The NPI number for Eric Wagoner is 1649603036. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Q: What is Eric Wagoner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Wagoner was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 21, 2013PECOS EnrolledAccepts Medicare Assignment

2139 E BEECHWOOD AVE, FRESNO, CA 93720(559) 322-6600 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Eric Matthew Wagoner Pa-c NPPES

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

MR. ERIC MATTHEW WAGONER PA-C (NPI 1649603036) is an individual physician assistant in Fresno, California and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1649603036

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ERIC MATTHEW WAGONERCredential: PA-C

Location Address2139 E BEECHWOOD AVEFresno, CA 93720-0340

Mailing Address2139 E Beechwood AveFresno, CA 93720-0340 · (209) 402-1339

Phone(559) 322-6600

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 21, 2013

Last NPPES UpdateJune 19, 2015

✔ NPI 1649603036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

2139 E BEECHWOOD AVE, Fresno, CA 93720

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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 and accepts Medicare assignment

Mr. Eric Matthew Wagoner Pa-c 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 ID3971731993

PECOS Enrollment IDI20140118000417

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 9

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

61 services36 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

43 services26 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.

28 services28 patients

Tendon graft 20924

A tendon graft is a surgical procedure where a damaged tendon is replaced with a piece of healthy tendon from another part of the body or a donor. This helps restore function and reduce pain in the affected area. It's often performed under general anesthesia.

26 services15 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.

26 services25 patients

Reconstruction of wrist joint 25320

Reconstruction of the wrist joint is a surgical procedure aimed at restoring normal function to your wrist. It involves repairing or replacing damaged parts of the wrist caused by injury, arthritis, or other conditions. This can help alleviate pain and improve mobility.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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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Other Providers at the Same Location NPPES 12

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

ILEANA CERVANTES PA-C

Physician Assistant