Individual provider Active NPI

Wame Nicholas Waggenspack Jr., M.D.

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1003834169
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
201531 Issued in LA
Practice address
8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827
Phone
(225) 924-2424
Fax
(225) 408-7984
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 201531 LA
Emergency Medicine Physician 207P00000X 19439 MS
Sports Medicine (Family Medicine) Physician 207QS0010X 19439 MS
Sports Medicine (Family Medicine) Physician 207QS0010X 201531 LA
Orthopaedic Surgery Physician 207X00000X L9952 TX
Orthopaedic Surgery Physician 207X00000X 201531 LA Primary

Addresses

Primary practice location

8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827

Mailing address

8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424

Other practice location 1

7718 Garth Road
Baytown, TX 77521
Phone (713) 347-9031

Other practice location 2

7401 Main St
Houston, TX 77030-4509
Phone (713) 799-2300

Other practice location 3

520 Blossom St
Webster, TX 77598-4210
Phone (281) 332-9537

Other practice location 4

8731 Katy Fwy Ste 420
Houston, TX 77024-1736
Phone (832) 516-6997

Other identifiers 2

IdentifierTypeStateIssuer
1018236MedicaidLA
04476300MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080319000581 LA Practitioner - Orthopedic SurgeryPractitioner - Emergency Medicine 3375543028 Reassigns benefits to 1 organization
I20160719001058 TX Practitioner - Orthopedic Surgery 3375543028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Therapy Centers LimitedGroup PAC ID 3173433265, shared by 3 NPIs, 76 clinicians
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

4009 Bellaire Blvd
Houston, TX 77025-1168

8731 Katy Fwy
Suite 420
Houston, TX 77024-1736
Phone (832) 516-6997

Hospital & facility affiliations

  • Texas Orthopedic Hospital Hospital, Houston, TX, CCN 450804
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Oakbend Medical Center Hospital, Richmond, TX, CCN 450330
  • Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19439MSMDSports Medicine (Family Medicine) Physician
L9952TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Feb 1, 2025 Accepting new patients
Lsuhn Billing LLC CurrentSince Feb 16, 2018 Accepting new patients
Lsuhn Billing LLC CurrentSince Feb 16, 2018 Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Feb 1, 2025 Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery Past Accepting new patients
Keith Van Meter & Associates Past Accepting new patients

Locations

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

7718 Garth Rd
Baytown, TX 77521
Phone (713) 347-9031

2635 W Baker Rd
Baytown, TX 77521
Phone (281) 337-8550

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

8731 Katy Fwy
Ste 420
Houston, TX 77024
Phone (713) 424-4824

8731 Katy Fwy
Ste 110
Houston, TX 77024
Phone (832) 516-6997

520 Blossom St
Webster, TX 77598
Phone (281) 332-9537

Networks

  • NM HMO C-SNP
  • TX HMO
  • TX HMO D-SNP

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sshmgnt-0cb03e07
  • Direct secure messaging: wame.waggenspack.1@15533.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1003834169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 1000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-924-2424",
            "fax_number": "225-408-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 1000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-924-2424",
            "fax_number": "225-408-7984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7718 Garth Road",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "77521",
            "country_code": "US",
            "telephone_number": "713-347-9031",
            "fax_number": "833-428-4555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7401 Main St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304509",
            "country_code": "US",
            "telephone_number": "713-799-2300",
            "fax_number": "833-520-1440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Blossom St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984210",
            "country_code": "US",
            "telephone_number": "281-332-9537",
            "fax_number": "833-520-1435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8731 Katy Fwy Ste 420",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770241736",
            "country_code": "US",
            "telephone_number": "832-516-6997",
            "fax_number": "833-972-5137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGGENSPACK",
        "first_name": "WAME",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "201531",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "19439",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MS",
            "license": "19439",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "LA",
            "license": "201531",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L9952",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "201531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018236",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04476300",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.