CAREY WAGONER DO
NPI 1912466871
Pediatrics in Madison, WI

Q: What is Carey Wagoner's NPI number?

The NPI number for Carey Wagoner is 1912466871. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Carey Wagoner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Carey Wagoner was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 19, 2019PECOS Enrolled

7102 MINERAL POINT RD, MADISON, WI 53717(608) 828-7603(608) 828-7644 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2025, Jun 6, 2023, Jun 3, 2023 and 1 more (4 updates tracked since 2019).

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About Carey Wagoner Do NPPES

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

CAREY WAGONER DO (NPI 1912466871) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (102830-875) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912466871

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameCAREY WAGONERCredential: DO

Location Address7102 MINERAL POINT RDMadison, WI 53717-1706

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 828-7603

Fax(608) 828-7644

Sole ProprietorNo

Enumeration DateMarch 19, 2019

Last NPPES UpdateAugust 27, 20254 updates tracked since enumeration

NPPES CertifiedAugust 27, 2025

✔ NPI 1912466871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WI · 102830-875✔ Licensed in OH · 58.030661✔ Licensed in KS · 94-11326✔ Licensed in MO · 2023014119

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 102830-875 (WI)

7102 MINERAL POINT RD, Madison, WI 53717

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carey Wagoner Do 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.

Medicare Billing Reassignments

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

University Of Wisconsin Medical Foundation, Inc

2.9 mi

Multi-Specialty

7974 UW HEALTH COURT
Middleton, WI 53562

Reassigned Medicare billing, Wisconsin enrollment
2,832 clinicians in this Medicare group

NPI 1598784555 (608) 829-5485

The Children's Mercy Hospital

381 mi

Pediatrics

2401 GILLHAM RD
Kansas City, MO 64108

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: The Childrens Mercy Hospital
603 clinicians in this Medicare group

NPI 1851437719 (816) 234-3000

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 53717 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

DANALYN K RAYNER M.D.

Family Medicine