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MICHAEL WAYNE WAGONER DO
NPI 1902429749
Family Medicine in Celina, TX

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
1109 AZURE LN, CELINA, TX 75009(757) 971-0190 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2024, May 3, 2022, May 27, 2020 (3 updates tracked since 2020).

About Michael Wayne Wagoner Do NPPES

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

MICHAEL WAYNE WAGONER DO (NPI 1902429749) is an individual family medicine provider in Celina, Texas, licensed in Texas (T5488) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with North Texas Medical Center, and is a graduate of Alabama College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1902429749
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL WAYNE WAGONERCredential: DO
Location Address1109 AZURE LNCelina, TX 75009-1798
Mailing Address1109 Azure LnCelina, TX 75009-1798 · (757) 971-0190
Phone(757) 971-0190
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2020
Enumeration DateMay 27, 2020
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1902429749 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 · T5488
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.
1109 AZURE LN, Celina, TX 75009
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Michael Wayne Wagoner Do 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 ID8921454422
PECOS Enrollment IDI20231019000989
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Wagoner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Health Physicians, PLLC
23 mi
Urgent Care
2310 W UNIVERSITY DR
Denton, TX 76201
  • Reassigned Medicare billing, Texas enrollment
  • 228 clinicians in this Medicare group
NPI 1770048704 (940) 220-5901
Texomacare
31 mi
Family Medicine
5012 S US HIGHWAY 75, SUITE 300
Denison, TX 75020
  • Reassigned Medicare billing, Texas enrollment
  • 66 clinicians in this Medicare group
NPI 1740233592 (903) 416-6015

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 5

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.

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.
18 services18 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 services14 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
14 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

North Texas Medical Center

Acute Care Hospitals · Gainesville, TX
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450090
Location1900 Hospital BlvdGainesville, TX 76240 · Cooke County
Emergency services Birthing friendly

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75009 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Michael Wagoner's NPI number?

The NPI number for Michael Wagoner is 1902429749. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Michael Wagoner located?

Michael Wagoner practices at 1109 Azure Ln, Celina, TX 75009. The listed phone number is (757) 971-0190.

What is Michael Wagoner's specialty?

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

Is Michael Wagoner enrolled in Medicare?

Yes. Michael Wagoner 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 Michael Wagoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wagoner reassigns Medicare benefits to 2 organizations: Primary Health Physicians, PLLC (Denton, TX) and Texomacare (Denison, TX). 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 Michael Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Wagoner accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Michael 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.

Is Michael Wagoner affiliated with any hospitals?

According to CMS data, Michael Wagoner is affiliated with North Texas Medical Center and Texoma Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Wagoner was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.