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Dr. Thomas Wagoner , MD

Pediatrics β€’ Bardstown, KY

Active NPI 1598127862 Individual Practitioner Male Practitioner
Practice location in NPPES

201 S 5th St
Bardstown, KY 400041142

Call 5023486309 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

201 S 5th St

Bardstown, KY 400041142

Telephone 5023486309
Fax 5023482793
Organization at the Same NPPES Address or Phone
Bardstown Primary Care, Pllc Facility NPI 1053305524

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $13.05 in 2021

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2021.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bardstown and Kentucky

10 active clinicians are listed under Pediatrics with a practice address in Bardstown, KY (874 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2021

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $13.05.

Manufacturer Payment Nature Product Type Amount ($)
SOBI, INC
Food and Beverage
In-kind items and services
SYNAGIS General $13.05

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES KY 57668

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Leslie Brauner , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1720343551

Advanced Practice Registered Nurse

Alexandrea Corbin

Nurse Practitioner - Family

NPI 1982168472
NPI 1063419208

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2025

Pediatrics (license number reported to NPPES: KY 57668)

πŸ“
Updated Practice Location February 07, 2024

Registered at 201 S 5TH ST, BARDSTOWN, KY 400041142 (Tel: 5023486309)

πŸ“
Updated Business Mailing Address February 07, 2024

Registered at 201 S 5TH ST, BARDSTOWN, KY 400041142 (Tel: 5023486309)

πŸ“
Updated Practice Location July 25, 2019

Registered at 10 MISSILE AVE, MINOT AFB, ND 587055003 (Tel: 7017235424)

πŸ“
Updated Business Mailing Address July 25, 2019

Registered at 10 MISSILE AVE, MINOT AFB, ND 587055003 (Tel: 7017235424)

πŸ‘€
Provider Name / Credentials Updated July 25, 2019

Recorded as THOMAS WAGONER, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2019

Pediatrics (license number reported to NPPES: MS 25903)

βœ…
NPI Profile Active March 24, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 24, 2016

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019845200)

πŸ“
Business Mailing Address (Initial Record) March 24, 2016

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019845200)

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2016

Recorded as THOMAS WAGONER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2016

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 24, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598127862
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2016
Last Update: February 24, 2025
Sole Proprietor: No

Mailing Address

201 S 5th St

Bardstown, KY 400041142

Phone: 5023486309

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.