ADAM RICHARD WAGGONER (DO) – Emergency Medicine Physician, NPI 1538420351

ADAM RICHARD WAGGONER (DO) is a healthcare provider. based in Sunnyside, Washington. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. OP60840174 (WA). The NPI Number for ADAM RICHARD WAGGONER (DO) is 1538420351

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
ADAM RICHARD WAGGONER (DO)
NPI
1538420351
Phone
(509) 837-1500
Address
1016 TACOMA AVE
Enumeration Date
7 June 2012
Last Update Date
13 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098371707
Graduation Year
2017 (9 years ago)
PAC ID
0345522629
Group Practice PAC ID
0941424451
Professional Enrollment ID
I20180605002849
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for ADAM RICHARD WAGGONER (DO)

  • 1016 TACOMA AVE

    SUNNYSIDE, WA 989442263

    Phone: (509) 837-1500

    Type: Mailing

  • 200 UNIVERSITY PKWY

    YAKIMA, WA 989019539

    Phone: (509) 452-5100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-02-12 • Largest payer in this snapshot: ZOLL Circulation Inc ($26).

Total Amount

$26

General + Research + Ownership

Payments

2

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ZOLL Circulation Inc$26
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: 2018-06-05

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
I20180605002849IEmergency MedicineWATBD

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
99285Emergency department visit with high level of medical decision making317299$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only234219$0
99284Emergency department visit with moderate level of medical decision making186174$0
99291Critical care, first 30-74 minutes5151$0
99283Emergency department visit with low level of medical decision making1816$0
View full utilization report →

Insurance plans in this area (ZIP 98944)

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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: 0941424451View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineCA
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineFL
Emergency MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to ADAM RICHARD WAGGONER (DO)?
NPI 1538420351 is assigned to ADAM RICHARD WAGGONER (DO) under the national enumeration system.
Does this profile mean ADAM RICHARD WAGGONER (DO) is currently active?
Yes — ADAM RICHARD WAGGONER (DO) appears active in the national provider directory.
Can you summarize ADAM RICHARD WAGGONER (DO)'s specialty in plain language?
Clinically, the directory lists ADAM RICHARD WAGGONER (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ADAM RICHARD WAGGONER (DO)?
The page summarizes Sunnyside, Washington for ADAM RICHARD WAGGONER (DO); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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