CHAD MICHAEL WAGGONER (OD) – Optometrist, NPI 1285686139
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
225 OPTOMETRY in RI
Provider Addresses for CHAD MICHAEL WAGGONER (OD)
2915 BENJAMIN CT SE
OLYMPIA, WA 985014807
Phone: (360) 754-2817
Fax: (360) 456-3894
Type: Mailing
891 WESTMINSTER ST
PROVIDENCE, RI 029034020
Phone: (401) 331-7850
Fax: (401) 274-4739
Type: Location
161 W 200 N STE 200
SAINT GEORGE, UT 847707386
Phone: (435) 652-4040
Fax: (435) 652-1516
Type: Location
161 W 200 N Ste 200
Saint George, UT 847707386
Phone: (435) 652-4040
Fax: (435) 652-1516
Type: Location
345, College Street Southeast, Lacey, Thurston County, Washington, 98503, United States
LACEY, WA 985031013
Phone: (360) 456-3200
Fax: (360) 456-3894
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $883.
Total Amount is formed as General ($883) + Research ($0) + Ownership ($0) = $883.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($198).
Total Amount
$883
General + Research + Ownership
Payments
27
Total payment records
General Amount
$883
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200915001284 | I | Optometry | UT | TBD |
| I20241101001908 | I | Optometry | CO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 183 | 182 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 71 | $0 |
| 92134 | Imaging of retina | 65 | 64 | $0 |
| 92133 | Imaging of optic nerve | 29 | 29 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 98501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | WA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 195 | 160 |
| OPTOMETRY | WA | 92083 | Measurement of field of vision during daylight conditions | 111 | 106 |
| OPTOMETRY | WA | 92134 | Diagnostic imaging of retina | 69 | 59 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO |
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