RYAN COLT WAGONER M.D.
NPI 1952531204
Psychiatry & Neurology - Psychiatry in Tampa, FL

Active since July 21, 2009PECOS EnrolledAccepts Medicare Assignment
3515 E FLETCHER AVE, MDC 14, TAMPA, FL 33613(813) 974-8900 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2021, Mar 29, 2016, Oct 1, 2015 (3 updates tracked since 2015).

About Ryan Colt Wagoner M.d. NPPES

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

RYAN COLT WAGONER M.D. (NPI 1952531204) is an individual psychiatry provider in Tampa, Florida, licensed in Florida (ME119037) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2009).

NPPES Registry Identity

NPI1952531204
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRYAN COLT WAGONERCredential: M.D.
Location Address3515 E FLETCHER AVE, MDC 14Tampa, FL 33613-4702
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 974-2201 · Fax (813) 974-4325
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2009
Enumeration DateJuly 21, 2009
Last NPPES UpdateMarch 31, 20213 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1952531204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in FL · ME119037 Licensed in GA · 71582
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License A124075 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT194511 (PA)
3515 E FLETCHER AVE, Tampa, FL 33613

Other Identifiers 2

Medicaid015294500FL
Other1510AFL · Blue Cross Blue Shield

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

Ryan Colt Wagoner 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 ID9931320223
PECOS Enrollment IDI20150915001779
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

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 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.
58 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%86 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%177 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Psychiatry & Neurology (Psychiatry)
3515 E FLETCHER AVE
TAMPA, FL 33613
Specialist/Technologist (Athletic Trainer)
3515 E FLETCHER AVE
TAMPA, FL 33613
Nurse Practitioner (Psychiatric/Mental Health)
3515 E FLETCHER AVE
TAMPA, FL 33613
Social Worker (Clinical)
3515 E FLETCHER AVE
TAMPA, FL 33613
Psychiatry & Neurology (Psychiatry)
3515 E FLETCHER AVE, MDC 14
TAMPA, FL 33613
Psychologist (Clinical)
3515 E FLETCHER AVE, MDC 14
TAMPA, FL 33613
Psychologist (Clinical)
3515 E FLETCHER AVE, DEPARTMENT OF PSYCHIATRY, UNIVERSITY OF SOUTH FLORIDA
TAMPA, FL 33613
Clinical Neuropsychologist
3515 E FLETCHER AVE
TAMPA, FL 33613

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 Ryan Wagoner's NPI number?

The NPI number for Ryan Wagoner is 1952531204. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Ryan Wagoner located?

Ryan Wagoner practices at 3515 E Fletcher Ave Mdc 14, Tampa, FL 33613. The listed phone number is (813) 974-8900.

What is Ryan Wagoner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ryan Wagoner enrolled in Medicare?

Yes. Ryan 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.

What insurance does Ryan Wagoner accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers list Ryan 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.

When was this NPI record last updated?

The NPPES record for Ryan Wagoner was last updated on March 31, 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.