Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krista Terese Wagoner, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1619238359

Krista Terese Wagoner, MD practises Obstetrics/Gynecology in Charleston, South Carolina. Qualified in 2012, 14 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
14
Licensed in
SC
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-8908 Not confirmed with CMS for 10 years — call before visiting
Phone: (843) 792-7108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence LL 34683 (SC)

Record details

NPI number1619238359
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2012
Last updated in NPPESJune 17, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients49
Services billed 80 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Musc Medical Center Hospital · Charleston, SC

Colleagues at University Medical Associates of the Medical University of South Carol

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1640 clinicians in the practice; 12 are shown here.

Other providers in Charleston