Doctor profile · Federal record
Dr. JACK BAGLEY, PA-C
Physician Assistant · Physician Assistant · WILMINGTON, NC
- NPI 1083653745
- Accepts Medicare
- 26 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2208 S 17TH ST
WILMINGTON, NC 284017593
(910) 763-3333 - Additional location
-
1002 N Church St Ste 200
Greensboro, NC 274011448
(336) 907-7773
fax (336) 907-7902 - Mailing address
-
PO BOX 96860
CHARLOTTE, NC 282966860
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- April 6, 2026
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- North Carolina #103055 · Missouri #2006004610
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083653745. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
63
Distinct HCPCS
3
Medicare allowed
$6,056
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 28 | 16 | $73 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 18 | 13 | $103 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $128 |
In context: peer comparison
Among 91 peers in this city , average services per provider: 128. This provider delivers 0.5× the peer median.