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

Dr. Matthew Roy Wagoner, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1770870974

Dr. Matthew Roy Wagoner, DPM is a Podiatry in Greensboro, North Carolina. Graduated from Temple University School of Medicine in 2011, 15 years ago. Practices with Moses Cone Affiliated Physicians, Inc, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Pennsylvania.

Years since qualifying
15
Trained at
Temple University School of Medicine
Licensed in
NC, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2001 N Church St Ste 101
Greensboro, NC 27405-5633
Phone: (336) 375-6990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2706 Saint Jude St, Greensboro, NC 27405-3670 — (336) 375-6990

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 612 (NC)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence SC006317 (PA)

Record details

NPI number1770870974
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJuly 8, 2011
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Moses Cone Affiliated Physicians, Inc. — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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