Doctor profile · Federal record
Dr. Jacob Waidelich, MD
Anesthesiology Physician (CMS: Anesthesiology) · Fond du LAC, WI
- NPI 1194846998
- Accepts Medicare
- 22 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
430 E Division St
Fond du LAC, WI 549354560
(920) 926-8340
fax (920) 926-8370 - Mailing address
-
420 E Division St
Fond du LAC, WI 549354560
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- December 22, 2020
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- Wisconsin #52040-20
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194846998. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
48
Distinct HCPCS
3
Medicare allowed
$3,416
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 26 | 26 | $77 | |
00410 |
Anesthesia for procedure to correct abnormal heart rhythm | 11 | 11 | $68 | |
00812 |
Anesthesia for exam of colon using an endoscope | 11 | 11 | $60 |
In context: peer comparison
Among 8 peers in Fond du LAC Anesthesiology Physician, average services per provider: 27. This provider delivers 1.8× the peer median.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $19.57 |
By nature of payment
Frequently asked questions
What is Dr. Jacob Waidelich's medical specialty?
Dr. Jacob Waidelich practices Anesthesiology Physician in Fond du LAC, WI.
Where does Dr. Jacob Waidelich practice?
Dr. Jacob Waidelich practices at 430 E Division St, Fond du LAC, WI 549354560. Office phone: 9209268340.
What is Dr. Jacob Waidelich's NPI?
Dr. Jacob Waidelich's National Provider Identifier (NPI) is 1194846998, issued by NPPES.
Does Dr. Jacob Waidelich accept Medicare assignment?
Yes. Dr. Jacob Waidelich accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacob Waidelich commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for procedure to correct abnormal heart rhythm (HCPCS 00410); Anesthesia for exam of colon using an endoscope (HCPCS 00812). Source: CMS Medicare Physician & Other Practitioners file.