DR. WAYNE A FAGAN M.D. NPI 1942206180

NPI Information

  • NPI: 1942206180
  • Provider Name: DR. WAYNE A FAGAN, M.D.
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4141 S. STAPLES SUITE 300
    CORPUS CHRISTI, TX
    ZIP 78411
  • Phone: (361) 882-5560

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NPI Details

DR. Wayne A Fagan, M.D. is a mohs-micrographic surgery dermatology in Corpus Christi, TX with 30 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DR. Wayne A Fagan, M.D. NPI is 1942206180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4141 S. STAPLES SUITE 300
CORPUS CHRISTI, TX
ZIP 78411-929
Phone: (361) 882-5560
Fax: (361) 882-6011

The NPI 1942206180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less (HCPCS:13122)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less (HCPCS:13133)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less (HCPCS:15240)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/22/2005 and was last updated on 5/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryJ4105TEXASYes
2207ND0900XDermatologyDermatopathology45D0913782TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CK7292OTHERTEXASMEDICARE RAILROAD
2070017610OTHERTEXASMEDICARE RAILROAD
31356536494OTHERTEXASGROUP NPI #
4080856001MEDICAIDTEXAS
500602NMEDICARE PINTEXAS
60040EEOTHERTEXASBLUE CROSS BLUE SHIELD
7G08046MEDICARE UPINTEXAS
886470YOTHERTEXASBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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