DR. CHAD ERIC WAGONER (MD) – Family Medicine Physician, NPI 1871582130

DR. CHAD ERIC WAGONER (MD) is a healthcare provider. based in Carthage, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 2002017031 (MO). The NPI Number for DR. CHAD ERIC WAGONER (MD) is 1871582130

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHAD ERIC WAGONER (MD)
NPI
1871582130
Phone
(417) 359-8803
Address
1615 HAZEL ST
Enumeration Date
19 October 2005
Last Update Date
15 November 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
4173598803
Graduation Year
2000 (26 years ago)
PAC ID
3678588530
Group Practice PAC ID
0547300196
Professional Enrollment ID
I20060214000199
Address ID
MO648363020CA1615XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

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Provider Addresses for DR. CHAD ERIC WAGONER (MD)

  • 1615, Hazel Street, Carthage, Jasper County, Missouri, 64836, United States

    CARTHAGE, MO 648363020

    Phone: (417) 359-8803

    Fax: (417) 359-8454

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 350 Open Payments records for all available years, with a total value of $5,758.

Total Amount is formed as General ($5,758) + Research ($0) + Ownership ($0) = $5,758.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($865).

Total Amount

$5,758

General + Research + Ownership

Payments

350

Total payment records

General Amount

$5,758

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20060214000199IFamily PracticeMOTBD

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
J0897Injection, denosumab, 1 mg1,08012$0
36415Insertion of needle into vein for collection of blood sample778342$0
99213Established patient office or other outpatient visit, 20-29 minutes585281$0
99214Established patient office or other outpatient visit, 30-39 minutes503269$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit223223$0
View full utilization report →

Insurance plans in this area (ZIP 64836)

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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: 0547300196View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineMO
Internal Medicine, Pulmonary Disease, Pulmonary Disease, Critical Care (Intensivists)IN
Physician AssistantIL
Nurse PractitionerMO
Family PracticeMO
Vascular SurgeryID
-MO
Orthopedic SurgeryKS
N E U R O L O G YMO
-MO

Reviews

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Frequently asked questions

What identifier follows DR. CHAD ERIC WAGONER (MD) across health systems?
The NPI 1871582130 uniquely identifies DR. CHAD ERIC WAGONER (MD) in U.S. healthcare data.
Is DR. CHAD ERIC WAGONER (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. CHAD ERIC WAGONER (MD) as active.
How should patients interpret DR. CHAD ERIC WAGONER (MD)'s specialty?
The extract shows Family Medicine Physician for DR. CHAD ERIC WAGONER (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. CHAD ERIC WAGONER (MD)?
DR. CHAD ERIC WAGONER (MD) shows a connection to Carthage, Missouri in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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