STEPHEN M WAGGONER (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1871589283
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
737 ORTHOPEDIC SURGERY in TN
Provider Addresses for STEPHEN M WAGGONER (MD)
1350 Concourse Ave Ste 363
Memphis, TN 381042023
Phone: (901) 260-6161
Fax: (901) 260-6162
Type: Location
3045, Kate Bond Road, Bartlett, Shelby County, West Tennessee, Tennessee, 38133, United States
BARTLETT, TN 381334004
Phone: (901) 381-4664
Fax: (901) 373-3804
Type: Location
2100 Exeter Rd Ste 200
Germantown, TN 381383966
Phone: (901) 641-3000
Fax: (901) 373-0804
Type: Location
4515 Poplar Ave Ste 206
Memphis, TN 381177506
Phone: (901) 728-6916
Fax: (901) 373-3804
Type: Location
6077 PRIMACY PKWY STE 140
MEMPHIS, TN 381195742
Phone: (901) 259-1673
Fax: (901) 259-7637
Type: Mailing
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: 2009-07-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090718000004 | I | Orthopedic Surgery | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 3,310 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 846 | 509 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 456 | 234 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 305 | 221 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 285 | 249 | $0 |
Insurance plans in this area (ZIP 38104)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Sports Medicine | MS | |
| Orthopedic Surgery | TN | |
| - | TN | |
| Orthopedic Surgery, Hand Surgery, Hand Surgery, Orthopedic Surgery | AR | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Physical Therapist In Private Practice | TN | |
| - | MS | |
| Orthopedic Surgery, Hand Surgery | TN |
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