CLINTON WAGGONER (MD) – Diagnostic Radiology Physician, NPI 1235344011

CLINTON WAGGONER (MD) is a healthcare provider. based in Pensacola, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 26192 (AL). The NPI Number for CLINTON WAGGONER (MD) is 1235344011

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON WAGGONER (MD)
NPI
1235344011
Phone
(850) 476-8602
Address
PO BOX 9210
Enumeration Date
14 May 2007
Last Update Date
27 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2059854111
Graduation Year
1998 (28 years ago)
PAC ID
4688745763
Group Practice PAC ID
2365800604
Professional Enrollment ID
I20080617000525
Address ID
AL352443280HO4517XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for CLINTON WAGGONER (MD)

  • Pensacola Avenue, Caversham, Perth, Western Australia, 6055, Australia

    PENSACOLA, FL 325139210

    Phone: (850) 476-8602

    Fax: (850) 474-3518

    Type: Mailing

  • Sacred Heart Hospital of Pensacola, 5151, North 9th Avenue, Cordova Mall, Pensacola, Escambia County, Florida, 32504, United States

    PENSACOLA, FL 325048721

    Phone: (850) 476-8602

    Fax: (850) 474-3518

    Type: Location

  • 1515 6th Ave S

    Birmingham, AL 352331601

    Phone: (205) 930-3200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080617000525IDiagnostic RadiologyALTBD
I20120615000505IDiagnostic RadiologyGATBD
I20130109000696IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view907774$0
71046X-ray of chest, 2 views312303$0
70450Ct scan head or brain without contrast256248$0
72148Mri scan of lower spinal canal without contrast180178$0
72141Mri scan of upper spinal canal without contrast125120$0
View full utilization report →

Insurance plans in this area (ZIP 32513)

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Provider's Procedures

CLINTON WAGGONER (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL78815Nuclear medicine study with CT imaging skull base to mid-thigh1919

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365800604View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physician AssistantAL
Diagnostic RadiologyAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physical Therapist In Private PracticeAL
Physician AssistantAL
Hand Surgery, Orthopedic SurgeryAL

Reviews

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Frequently asked questions

What is the standard ID for CLINTON WAGGONER (MD) in the U.S.?
In the U.S., CLINTON WAGGONER (MD) is identified by NPI 1235344011.
Quick check: is CLINTON WAGGONER (MD) active?
Public NPPES data shows CLINTON WAGGONER (MD) with an active NPI status right now.
Which specialty label fits CLINTON WAGGONER (MD)?
NPPES ties CLINTON WAGGONER (MD) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CLINTON WAGGONER (MD)?
CLINTON WAGGONER (MD) is associated with Pensacola, Florida in the same public data insurers reference.
Who maintains CLINTON WAGGONER (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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