Michael Waggoner, DO

Primary specialty

Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X

License

E-8612 Issued in AR

Practice address

3737 W Walnut St
Rogers, AR 72756-1839

Phone

(479) 246-1700

NPI assigned

Jul 1, 2009

Last updated

Jun 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Specialty

Ophthalmology

Education

University of North Texas HSC, College of Osteopathic Med, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boozman-Hof Regional Eye Clinic PAGroup PAC ID 4981628245, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

Merit-based Incentive Payment System (MIPS)

Final score

92.75 of 100Reported as group

Quality

99.17

Improvement activities

40

Cost

76.94

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwaggoner@bhrec.intellechartdirect.net

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

• Boozman-Hof Regional Eye Clinic PA

  • Ophthalmology Physician
  • Rogers, AR
  • NPI 1548234669
  Medicare reassignment Care Compare group NPD
• Boozman-Hof Regional Eye Clinic

  • Optometrist
  • Rogers, AR
  • NPI 1356317473

  Ophthalmology

  NPD (past)
• Boozman-Hof Regional Eye Clinic PA

  dba Boozman-Hof Optical

  • Eyewear Supplier
  • Rogers, AR
  • NPI 1558320325
  NPD (past)
• Rogers Ar Ophthalmology ASC LLC

  dba Boozman-Hof Eye Surgery & Laser Center

  • Ambulatory Surgical Clinic/Center
  • Rogers, AR
  • NPI 1780658245
  NPD (past)

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

• Northwest Arkansas Hospitals, LLC

  dba Northwest Medical Center

  • General Acute Care Hospital
  • Springdale, AR
  • NPI 1699726695
  Care Compare affiliation

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1295963999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034008",
            "telephone_number": "479-521-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561839",
            "telephone_number": "479-246-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "T2009017030",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "5341",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E-8612",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "AR",
            "license": "E-8612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200493810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Waddell, MD
• Harrison Jake Waddell, DMD
• Jennifer Wade, O.T.
• Melissa Brooke Waganer, MOT, OTR/L
• Brian Waggoner, LAC, NCC
• Nathan S Wagner, D.C.
• Allison Danielle Wahbi, LSW
• Wal-Mart Stores, Inc. (Vision Center 30-5260)
• Aimee Kathryne Waldrep, M.S, CCC-SLP
• Walgreen Co (Walgreens #05237)

• Cornea and External Diseases Specialist Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Cornea and External Diseases Specialist Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.