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

Q: 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.

Q: What is John Waggoner's specialty?

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

Q: 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.

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: October 25, 2026.

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

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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

Phone(360) 413-5825

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

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.

Medicare Billing Reassignments

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

Providence Health & Services Washington

0.1 mi

Family Medicine

525 LILLY RD NE
Olympia, WA 98506

Reassigned Medicare billing, Washington enrollment
646 clinicians in this Medicare group

NPI 1174744304 (360) 793-7230

Providence Health & Services Washington

0.1 mi

Hospice and Palliative Medicine

525 LILLY RD NE
Olympia, WA 98506

Reassigned Medicare billing, Washington enrollment
184 clinicians in this Medicare group

NPI 1497110571 (360) 486-6402

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 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

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

82 services82 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

62 services62 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

58 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

56 services30 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

49 services39 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

44 services23 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

37 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

36 services36 patients

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.

35 services35 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

30 services30 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

25 services25 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

23 services23 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

21 services21 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

16 services16 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

15 services12 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

13 services13 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.

DR. ROBERT C TOMFORD MD

Internal Medicine (Nephrology)

500 LILLY RD NE, SUITE 203
OLYMPIA, WA 98506

Thurston County (360) 413-8121

SAMANTHA MOORE PA-C

Physician Assistant

500 LILLY RD NE
OLYMPIA, WA 98506

Thurston County (360) 413-8250

DR. AUDREY MANTANONA PHARMD

Pharmacist

500 LILLY RD NE
OLYMPIA, WA 98506

Thurston County (360) 477-5101

DR. WILLIAM J MITCHELL MD

Specialist

500 LILLY RD NE, SUITE 204
OLYMPIA, WA 98506

Thurston County (360) 413-8250

MR. ELIJAH TELFARE P.A.

Physician Assistant (Surgical)

500 LILLY RD NE, SUITE 100
OLYMPIA, WA 98506

Thurston County (360) 491-4211

NORTHWEST RADIOLOGY GROUP LLC

Specialist

500 LILLY RD NE, SUITE 160
OLYMPIA, WA 98506

Thurston County (360) 413-8307

MR. PATRICK C WILLIAMS PA

Physician Assistant

500 LILLY RD NE, SUITE 204
OLYMPIA, WA 98506

Thurston County (360) 413-8250

SEATTLE VAMC

Clinic/Center (VA)

500 LILLY RD NE, STE 201 AND 204A
OLYMPIA, WA 98506

Thurston County (702) 341-3164

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.

Which organizations bill Medicare for John Waggoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Waggoner reassigns Medicare benefits to 2 organizations: Providence Health & Services Washington (Olympia, WA) and Providence Health & Services Washington (Olympia, WA). 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 John Waggoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Waggoner accept?

Health plans from Ambetter Health, 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.