Doctor profile · Federal record
Dr. Mackenzie Waggoner, PT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Lebanon, TN
- NPI 1891295549
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1035 S Hartmann Dr
Lebanon, TN 370904064
(615) 321-3310
fax (615) 443-5488 - Mailing address
-
Po Box 306556
Nashville, TN 372306556
Credentials & registration
- NPI registered
- February 2018 — 8 yrs on file
- Profile last updated
- October 26, 2023
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Tennessee #12258
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891295549. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,008
Distinct HCPCS
4
Medicare allowed
$25,027
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 687 | 52 | $22 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 167 | 32 | $20 | |
97530 |
Therapy procedure using functional activities | 131 | 17 | $33 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 23 | 22 | $91 |
In context: peer comparison
Among 15 peers in Lebanon Physical Therapist, average services per provider: 248. This provider delivers 4.1× the peer median.Frequently asked questions
What is Dr. Mackenzie Waggoner's medical specialty?
Dr. Mackenzie Waggoner practices Physical Therapist in Lebanon, TN.
Where does Dr. Mackenzie Waggoner practice?
Dr. Mackenzie Waggoner practices at 1035 S Hartmann Dr, Lebanon, TN 370904064. Office phone: 6153213310.
What is Dr. Mackenzie Waggoner's NPI?
Dr. Mackenzie Waggoner's National Provider Identifier (NPI) is 1891295549, issued by NPPES.
Does Dr. Mackenzie Waggoner accept Medicare assignment?
Yes. Dr. Mackenzie Waggoner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mackenzie Waggoner commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.