Doctor profile · Federal record

Dr. Amy Wagoner, MD

Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Watertown, SD

  • NPI 1376554568
  • 29 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
901 4Th St Nw
Watertown, SD 572011558
(605) 886-8471
fax (605) 886-9317
Mailing address
Po Box 5074
Sioux Falls, SD 571175074

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
October 1, 2012
Year of graduation
1997 — 29 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State licenses (2)
South Dakota #8597 · Wisconsin #40276
Medicaid
WI #32585100

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1376554568. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
254
Distinct HCPCS
3
Medicare allowed
$22,954
HCPCS Description Services Patients Avg allowed
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or 138 48 $29
99215 Established patient office or other outpatient visit, 40-54 minutes 104 44 $159
99205 New patient office or other outpatient visit, 60-74 minutes 12 12 $201

In context: peer comparison

Among 11 peers in this city , average services per provider: 95. This provider delivers 2.7× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
42
Patients
0
Total drug cost
$1,708
Drug Type Claims Patients Total cost
Levothyroxine Sodium Generic 18 0 $228
Liothyronine Sodium Generic 12 0 $1,273
Pregabalin Generic 12 0 $207

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Amy Wagoner's medical specialty?
Dr. Amy Wagoner practices Family Medicine Physician in Watertown, SD.
Where does Dr. Amy Wagoner practice?
Dr. Amy Wagoner practices at 901 4Th St Nw, Watertown, SD 572011558. Office phone: 6058868471.
What is Dr. Amy Wagoner's NPI?
Dr. Amy Wagoner's National Provider Identifier (NPI) is 1376554568, issued by NPPES.
Does Dr. Amy Wagoner accept Medicare assignment?
Dr. Amy Wagoner does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Amy Wagoner commonly perform?
Top Medicare-reported procedures in 2023: Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS G2212); Established patient office or other outpatient visit (HCPCS 99215); New patient office or other outpatient visit (HCPCS 99205). Source: CMS Medicare Physician & Other Practitioners file.