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MRS. JILL WAGGONER M.D.
NPI 1700940194
Family Medicine in Dallas, TX

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
3450 W WHEATLAND RD STE 118, DALLAS, TX 75237(972) 298-2099(972) 298-2098 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jill Waggoner M.d. NPPES

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

MRS. JILL WAGGONER M.D. (NPI 1700940194) is an individual family medicine provider in Dallas, Texas, licensed in Texas (J4593) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Methodist Charlton Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (1992).

NPPES Registry Identity

NPI1700940194
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. JILL WAGGONERCredential: M.D.
Location Address3450 W WHEATLAND RD STE 118Dallas, TX 75237-3470
Mailing Address3450 W Wheatland Rd Pob I Ste 118Dallas, TX 75237-3470 · (972) 298-2099 · Fax (972) 298-2098
Phone(972) 298-2099
Fax(972) 298-2098
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1992
Enumeration DateDecember 20, 2006
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1700940194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J4593
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3450 W WHEATLAND RD STE 118, Dallas, TX 75237
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Other Identifiers 2

Other8AD157TX · Blue Cross
Medicaid104409103TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Mrs. Jill Waggoner M.d. 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 ID2769545144
PECOS Enrollment IDI20090112000264
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 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services27 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.
15 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450723
Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75237 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims34 services$7.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jill Waggoner's NPI number?

The NPI number for Jill Waggoner is 1700940194. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Jill Waggoner located?

Jill Waggoner practices at 3450 W Wheatland Rd Ste 118, Dallas, TX 75237. The listed phone number is (972) 298-2099.

What is Jill Waggoner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jill Waggoner enrolled in Medicare?

Yes. Jill 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.

What insurance does Jill Waggoner accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Jill 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 Jill Waggoner affiliated with any hospitals?

According to CMS data, Jill Waggoner is affiliated with Methodist Charlton Medical Center.

When was this NPI record last updated?

The NPPES record for Jill Waggoner was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.