DR. MARK WAGONER MD
NPI 1669177341
Hospitalist in Phoenix, AZ
About Dr. Mark Wagoner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK WAGONER MD (NPI 1669177341) is an individual hospitalist provider in Phoenix, Arizona, licensed in Arizona (80695) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
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 (PECOS)
Dr. Mark Wagoner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Wagoner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85013
- Reassigned Medicare billing, Arizona enrollment
- 773 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85013 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.
PHOENIX, AZ 85013
PHOENIX, AZ 85013
PHOENIX, AZ 85013
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 Mark Wagoner's NPI number?
The NPI number for Mark Wagoner is 1669177341. It was assigned to this individual provider in the NPPES registry on April 3, 2023.
Where is Mark Wagoner located?
Mark Wagoner practices at 350 W Thomas Rd, Phoenix, AZ 85013. The listed phone number is (602) 406-3000.
What is Mark Wagoner's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Mark Wagoner enrolled in Medicare?
Yes. Mark Wagoner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Wagoner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Wagoner reassigns Medicare benefits to Sjhmc Physician Services (Phoenix, AZ). The 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 Mark Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Wagoner accept?
Health plans from Cigna HealthCare of Arizona, Inc list Mark Wagoner 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 Mark Wagoner was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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. Mark Wagoner, MD · NPI 1669177341
Hospitalist physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1669177341 (Entity type: Individual)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 80695 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 W THOMAS RD, Phoenix, AZ 85013-4496
- **Phone:** (602) 406-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sjhmc Physician Services (NPI 1326098005, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 17, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1669177341) · Data from the CMS NPPES public registry.