DR. JOHN W. WAGGONER III M.D.
NPI 1922053016
Internal Medicine - Interventional Cardiology in Olympia, WA

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
500 LILLY RD NE, SUITE 100, OLYMPIA, WA 98506(360) 413-5825(360) 413-8837 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2021, Jun 12, 2017 (2 updates tracked since 2017).

About Dr. John W. Waggoner Iii M.d. NPPES

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

DR. JOHN W. WAGGONER III M.D. (NPI 1922053016) is an individual interventional cardiology provider in Olympia, Washington, licensed in Washington (MD00046169) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (1999).

NPPES Registry Identity

NPI1922053016
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. JOHN W. WAGGONER IIICredential: M.D.
Location Address500 LILLY RD NE, SUITE 100Olympia, WA 98506-5195
Mailing Address500 Lilly Rd Ne, Suite 100Olympia, WA 98506-5195 · (360) 413-5825 · Fax (360) 413-8837
Fax(360) 413-8837
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1999
Enumeration DateMay 24, 2006
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
NPI 1922053016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in WA · MD00046169
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
500 LILLY RD NE, Olympia, WA 98506

Accepted 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

Dr. John W. Waggoner Iii 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 ID1850303579
PECOS Enrollment IDI20060621000275
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 22

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
527 services209 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.
520 services306 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
295 services187 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
261 services62 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
230 services207 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
165 services155 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Internal Medicine (Nephrology)
500 LILLY RD NE, SUITE 203
OLYMPIA, WA 98506
Physician Assistant
500 LILLY RD NE
OLYMPIA, WA 98506
Pharmacist
500 LILLY RD NE
OLYMPIA, WA 98506
Specialist
500 LILLY RD NE, SUITE 204
OLYMPIA, WA 98506
Physician Assistant (Surgical)
500 LILLY RD NE, SUITE 100
OLYMPIA, WA 98506
Specialist
500 LILLY RD NE, SUITE 160
OLYMPIA, WA 98506
Physician Assistant
500 LILLY RD NE, SUITE 204
OLYMPIA, WA 98506
Clinic/Center (VA)
500 LILLY RD NE, STE 201 AND 204A
OLYMPIA, WA 98506

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 John Waggoner's NPI number?

The NPI number for John Waggoner is 1922053016. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is John Waggoner located?

John Waggoner practices at 500 Lilly Rd NE Suite 100, Olympia, WA 98506. The listed phone number is (360) 413-5825.

What is John Waggoner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is John Waggoner enrolled in Medicare?

Yes. John 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 John Waggoner accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list John 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 John Waggoner affiliated with any hospitals?

According to CMS data, John Waggoner is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for John Waggoner was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.