Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MARK WAGONER MD
NPI 1669177341
Hospitalist in Phoenix, AZ

Q: 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.

Q: What is Mark Wagoner's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Wagoner was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2023PECOS Enrolled

350 W THOMAS RD, PHOENIX, AZ 85013(602) 406-3000 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2026, Apr 3, 2023 (2 updates tracked since 2023).

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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.

NPPES Registry Identity

NPI1669177341

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. MARK WAGONERCredential: MD

Location Address350 W THOMAS RDPhoenix, AZ 85013-4496

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786

Phone(602) 406-3000

Sole ProprietorNo

Enumeration DateApril 3, 2023

Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1669177341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in AZ · 80695

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

350 W THOMAS RD, Phoenix, AZ 85013

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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 (PECOS)

Dr. Mark Wagoner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.