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Physician Profile

Jack Wagoner, M.D.

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At a glance

About Dr. Wagoner

Based in Sycamore, IL, Jack Wagoner, M.D. is listed in the NPI registry under surgery. Jack graduated from Southern Illinois University School of Medicine in 1993. Medicare claims data shows Jack provided 468 services to 363 patients. The services billed most often include subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more. NPI 1518979665 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Surgery (Primary)

Credentials & Licensing

IL licenceAs reported to the NPI registry
No. 036-100314As reported
NPINational Provider Identifier
1518979665Issued 2006

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Jack Wagoner's specialty?

Jack Wagoner is a general surgeon in Sycamore, IL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Surgery”.

NPI registry

Where can I find Jack Wagoner?

Jack Wagoner is listed at 1850 Gateway Dr, Sycamore, IL 60178. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Jack Wagoner?

The number on file is (815) 758-8671. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jack Wagoner?

Jack Wagoner's National Provider Identifier is 1518979665. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Jack Wagoner's education?

Jack Wagoner attended Southern Illinois University School of Medicine, graduating in 1993. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jack Wagoner have?

Jack Wagoner has 33 years experience. Calculated from a graduation year of 1993, reported in the CMS National Downloadable File.

CMS public data

What is Jack Wagoner known for?

According to Medicare billing data, Jack Wagoner performs procedures including biopsy of large bowel using a flexible endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope and removal of polyps or growths of large bowel using an endoscope with mechanical snare, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Jack Wagoner's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jack Wagoner. If this is you, claiming it is free.

Guide.md

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