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 .

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

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

CMS Provider Utilization
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 Wilmington Physician Assistant, average services per provider: 128. This provider delivers 0.5× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jack Bagley's medical specialty?
Dr. Jack Bagley practices Physician Assistant in Wilmington, NC.
Where does Dr. Jack Bagley practice?
Dr. Jack Bagley practices at 2208 S 17Th St, Wilmington, NC 284017593. Office phone: 9107633333.
What is Dr. Jack Bagley's NPI?
Dr. Jack Bagley's National Provider Identifier (NPI) is 1083653745, issued by NPPES.
Does Dr. Jack Bagley accept Medicare assignment?
Yes. Dr. Jack Bagley accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Bagley commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.