Amanda Waggoner, PAC
NPI 1477634582 · Physician Assistant · Williamsburg, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Waggoner, PAC is a Physician Assistant provider in Williamsburg, VA (NPI 1477634582).
Provider details
- NPI number
- 1477634582
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 0110002368 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
7,171 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 2,538 | $5 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,598 | $75 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 943 | $42 |
| Biopsy of Related Skin Growth, First Growth11102 | 775 | $80 |
| Biopsy of Related Skin Growth, Each Additional Growth11103 | 411 | $41 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluorouracil | 100 | 99 |
| Ketoconazole | 85 | 46 |
| Triamcinolone Acetonide | 73 | 65 |
| Doxycycline Hyclate | 39 | 21 |
| Hydrocortisone | 38 | 33 |
| Clobetasol Propionate | 32 | 27 |
| Doxycycline Monohydrate | 19 | — |
| Clindamycin Phosphate | 16 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,106 across 106 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 11842 Rock Landing Dr Ste 120Newport News, VA 23606-4437Phone: (757) 595-8816
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2024-06-24
- Certified
- 2024-06-24
Frequently asked questions
- What is Amanda Waggoner's NPI number?
- Amanda Waggoner's National Provider Identifier (NPI) is 1477634582, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Waggoner's specialty?
- Amanda Waggoner is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Amanda Waggoner located?
- Amanda Waggoner's practice location on file with NPPES is 207 Bulifants Blvd Ste C, Williamsburg, VA 23188-5732.
- What is Amanda Waggoner's phone number?
- The practice phone number listed in the NPPES registry for Amanda Waggoner is (757) 622-6315.
- Does Amanda Waggoner accept Medicare?
- Amanda Waggoner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Waggoner's NPI active?
- Yes — Amanda Waggoner's NPI (1477634582) is active in the NPPES registry as of the last update on 2024-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.