Doctor profile · Federal record
Dr. Jack Wagoner, M.D.
Anesthesiology Physician (CMS: Anesthesiology) · Jackson, MI
- NPI 1598700072
- Accepts Medicare
- MIPS 83.3 / 100 · 2023
- 40 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
205 N East Ave
Jackson, MI 492011753
(517) 788-4963
fax (517) 789-5903
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- November 6, 2007
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- Michigan #4301-407025
- Medicaid
- MI #2737106
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1598700072. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
353
Distinct HCPCS
10
Medicare allowed
$30,489
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00142 |
Anesthesia for lens surgery | 97 | 88 | $60 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 30 | 30 | $72 | |
76942 |
Ultrasonic guidance for needle placement | 26 | 26 | $31 | |
00630 |
Anesthesia for other procedure on lower spine | 23 | 23 | $152 | |
01402 |
Anesthesia for procedure for total knee joint replacement | 21 | 21 | $132 | |
64448 |
Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter | 21 | 21 | $74 | |
64450 |
Injection of anesthetic agent and/or steroid into other nerve or branch | 21 | 21 | $22 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 17 | 17 | $70 | |
00797 |
Anesthesia for procedure on stomach for weight loss | 16 | 16 | $213 | |
00400 |
Anesthesia for other procedure on skin of arms, legs, and front body | 15 | 13 | $93 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 26. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$151
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Vertos Medical, Inc. | 1 | $126.06 | |
| Pacira Pharmaceuticals Incorporated | 1 | $24.76 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Jack Wagoner's medical specialty?
Dr. Jack Wagoner practices Anesthesiology Physician in Jackson, MI.
Where does Dr. Jack Wagoner practice?
Dr. Jack Wagoner practices at 205 N East Ave, Jackson, MI 492011753. Office phone: 5177884963.
What is Dr. Jack Wagoner's NPI?
Dr. Jack Wagoner's National Provider Identifier (NPI) is 1598700072, issued by NPPES.
Does Dr. Jack Wagoner accept Medicare assignment?
Yes. Dr. Jack Wagoner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Wagoner commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for lens surgery (HCPCS 00142); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Ultrasonic guidance for needle placement (HCPCS 76942). Source: CMS Medicare Physician & Other Practitioners file.