DR. JOHN ALLEN VANWAGONER (M.D.) – Specialist, NPI 1053389502

DR. JOHN ALLEN VANWAGONER (M.D.) is a healthcare provider. based in Plano, Texas. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. K8854 (TX). The NPI Number for DR. JOHN ALLEN VANWAGONER (M.D.) is 1053389502

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ALLEN VANWAGONER (M.D.)
NPI
1053389502
Phone
(972) 398-3500
Address
6101 WINDCOM CT STE 400
Enumeration Date
10 March 2006
Last Update Date
15 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9034638400
Graduation Year
1996 (30 years ago)
PAC ID
9133253198
Group Practice PAC ID
9335273390
Professional Enrollment ID
I20100813000139
Address ID
TX750204594DE5012X75XX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

390 ALLERGY/IMMUNOLOGY in TX

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Provider Addresses for DR. JOHN ALLEN VANWAGONER (M.D.)

  • 6101 WINDCOM CT STE 400

    PLANO, TX 750937820

    Phone: (972) 398-3500

    Fax: (972) 398-3512

    Type: Mailing

  • 6101, Windcom Court, Plano, Collin County, Texas, 75093, United States

    SUITE 400

    PLANO, TX 750937817

    Phone: (972) 398-3500

    Fax: (972) 398-3512

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $507.

Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($190).

Total Amount

$507

General + Research + Ownership

Payments

20

Total payment records

General Amount

$507

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: 2010-08-13

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
I20100813000139IAllergy/ImmunologyTXTBD

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
95004Test for allergy using allergenic extract5,193100$0
95165Professional service for preparation and provision of 1 or more antigens3,93285$0
95117Professional service for multiple injections of allergen1,18984$0
99214Established patient office or other outpatient visit, 30-39 minutes550316$0
95024Test for allergy using allergenic extract injected into skin47926$0
View full utilization report →

Insurance plans in this area (ZIP 75093)

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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: 9335273390View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YTX
Nurse PractitionerIL
Physician AssistantTX
-TX
Allergy/Immunology, Pediatric MedicineTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerOK
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Where can patients find DR. JOHN ALLEN VANWAGONER (M.D.)'s NPI?
You can confirm DR. JOHN ALLEN VANWAGONER (M.D.) with NPI 1053389502; it appears in the national provider directory.
Is DR. JOHN ALLEN VANWAGONER (M.D.) currently active in the NPI registry?
CMS-published data lists DR. JOHN ALLEN VANWAGONER (M.D.) as an active registrant.
What kind of provider is DR. JOHN ALLEN VANWAGONER (M.D.)?
The page reflects Other Service Providers for DR. JOHN ALLEN VANWAGONER (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. JOHN ALLEN VANWAGONER (M.D.) practice in Texas?
You will see Plano, Texas on file for DR. JOHN ALLEN VANWAGONER (M.D.) alongside any extra practice locations.
Is DR. JOHN ALLEN VANWAGONER (M.D.) a real provider?
This page reflects official NPPES data for NPI 1053389502. Always confirm identity and privileges with the practice and licensing boards.

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