Dr. Jack A. Wagoner, MD
- Medicare services, 2024
- 468
- Medicare patients, 2024
- 266
- Part D claims, 2024
- 246
- MIPS score, 2024
- 96
- Hospital affiliations
- 3
- Practice address
- One Kish Hospital Drive, Dekalb, IL 60115
- Practice phone
- Call (815) 756-1521
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Wagoner's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Jack A. Wagoner is a general surgeon in Dekalb, Illinois
Dr. Wagoner practices at Northwestern Medicine Kishwaukee Hospital in Dekalb, Illinois, part of Northwestern Memorial HealthCare.
Dr. Wagoner's NPI, 1518979665, was assigned on August 13, 2006. Dr. Wagoner graduated from Southern Illinois University School of Medicine in 1993. Dr. Wagoner holds Illinois license 036-100314.
- NPI
- 1518979665NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8527964824
- NPI enumeration date
- August 13, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (815) 756-1521
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 59
- Medical school graduation
- 1993
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Jack A. Wagoner practices at 2 locations in Dekalb, Illinois
Dr. Wagoner's primary practice is Northwestern Medicine Kishwaukee Hospital, at One Kish Hospital Drive, Dekalb, IL 60115 in De Kalb County. The practice phone is (815) 756-1521. Dr. Wagoner also practices at Northwestern Medicine Kishwaukee Hospital, 1 Kish Hospital Dr, Dekalb, IL 60115.
- Northwestern Medicine Kishwaukee HospitalPrimaryOne Kish Hospital Drive, Dekalb, IL 60115 · De Kalb CountyPhone(815) 756-1521
- Northwestern Medicine Kishwaukee Hospital1 Kish Hospital Dr, Dekalb, IL 60115 · Dekalb CountyPhone(815) 756-1521
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data
Dr. Jack A. Wagoner is affiliated with 4 sites of care and 1 medical group
Dr. Wagoner's primary practice is Northwestern Medicine Kishwaukee Hospital in Dekalb, Illinois, part of Northwestern Memorial HealthCare. Dr. Wagoner is also affiliated with Northwestern Medicine Central DuPage Hospital. The medical group on file is Northwestern Medicine Regional Medical Group. Dmand AI also links Dr. Wagoner to 1 more hospital and 1 group practice or clinic, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Jack A. Wagoner's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Wagoner practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Northwestern Medicine Kishwaukee Hospital | Available with a free account |
| +3 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Jack A. Wagoner is one of 1,217 general surgeons in Illinois
Surgery is Dr. Wagoner's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Wagoner is licensed in Illinois.
Specialties and state licenses
- Surgery, IllinoisPrimary
General surgeons near Dr. Wagoner
Counts of general surgeons with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Jack A. Wagoner billed Medicare for 468 services in 2024
CMS data shows 468 Medicare services from Dr. Wagoner across 14 procedure codes in 2024, for 266 Medicare patients. Medicare paid $51,161 for them.
Dr. Wagoner's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 4602024: 33827%
- Surgery
- 2023: 1632024: 13020%
Where Dr. Wagoner's Medicare services took place, 2024
- In an office13429%
- In a facility33471%
Dr. Wagoner compared with the Illinois median for general surgeons, 2024
- Dr. Wagoner
- Illinois median
- Medicare services
- 468vs 1942.4 times
- Medicare patients
- 266vs 14485% above
- Part D claims
- 185vs 286.6 times
Medians across 1,031 general surgeons in Illinois with Dmand AI profiles that report each measure.
Dr. Wagoner's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Jack A. Wagoner treated 266 Medicare patients in 2024, average age 73
CMS counts 266 Medicare patients who saw Dr. Wagoner in 2024. The largest group is 65 to 74, with 141 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 12% are also on Medicaid. Their average risk score is 1.46, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Wagoner's median patient age at 73, with 56% women.
Dr. Wagoner's Medicare patients by age, 2024
Dr. Wagoner's Medicare patients by sex, 2024
- Women12948%
- Men13752%
Chronic conditions among Dr. Wagoner's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis45%
- Anxiety35%
- Diabetes32%
- Ischemic heart disease29%
- Mood disorders29%
- Chronic kidney disease27%
Share of Medicare patients with each condition. A patient can have several.
Dr. Wagoner's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 73
Patient panel by sex, all payers
- Women56%
- Men44%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Jack A. Wagoner wrote 246 Medicare Part D claims in 2024
In 2024, Dr. Wagoner wrote 246 Medicare Part D claims for 131 patients. 98% of them were for generic drugs. CMS names the drug for 185 of them, across 6 drugs with 11 or more claims each, at $1,699 in total drug cost. In 2023, CMS named 232 claims across 7 drugs.
Dr. Wagoner's Part D claims by kind of drug, 2024
- Generic242 claims98%
- Brand-name and other4 claims2%
Dr. Wagoner's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Wagoner's Part D claims, 2024
- Opioids29%72 of 246 claims
- Antibiotics10%24 of 246 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 2322024: 18520%
Drugs named by CMS: 6 in 2024, 7 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Jack A. Wagoner scored 96 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Dr. Wagoner for performance year 2024, reported through an alternative payment model (APM). Dr. Wagoner accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 17 procedures of hernia repair (minimally invasive) by Dr. Wagoner, more than 85% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Wagoner's MIPS scores, performance year 2024
- 96of 100Final score
- 88.5of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Wagoner ranks in Medicare procedure volume
- Hernia repair (minimally invasive)
- 85th percentile17 procedures
- Colonoscopy
- 42nd percentile12 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Hernia repair - groin (open): 1 to 10 procedures (CMS shows small counts as a range)
Melanoma (skin cancer) excision: 1 to 10 procedures (CMS shows small counts as a range)
Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)
Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)
Upper gastrointestinal (GI) endoscopy for acid reflux: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Jack A. Wagoner received $66,141 in industry payments from 2016 to 2024
CMS Open Payments shows 66 general payments to Dr. Wagoner from 9 drug and device companies from 2016 to 2024. Education make up the largest share, 91% of the total. Intuitive Surgical, Inc. paid the most, $63,581.
General payments to Dr. Wagoner by program year, 2016 to 2024
General payments to Dr. Wagoner by kind, 2016 to 2024
- Education$60,50091%
- Food and beverage$2,9764%
- Travel and lodging$2,6494%
- Gifts$160%
Companies that paid Dr. Wagoner the most, 2016 to 2024
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Jack A. Wagoner graduated from Southern Illinois University School of Medicine
Dr. Wagoner graduated from Southern Illinois University School of Medicine in 1993.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Jack A. Wagoner's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Jack A. Wagoner
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Jack A. Wagoner's NPI number?
Dr. Jack A. Wagoner's NPI number is 1518979665. It was assigned on August 13, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Jack A. Wagoner?
Dr. Jack A. Wagoner is a general surgeon in Dekalb, Illinois. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).
Where does Dr. Jack A. Wagoner practice?
Dr. Wagoner practices at One Kish Hospital Drive, Dekalb, IL 60115. Dr. Wagoner also practices at 1 Kish Hospital Dr, Dekalb, IL 60115. Dr. Wagoner's primary practice is Northwestern Medicine Kishwaukee Hospital in Dekalb, Illinois, part of Northwestern Memorial HealthCare. Dmand AI also links Dr. Wagoner to 1 hospital and 1 group practice or clinic.
What is Dr. Jack A. Wagoner's office phone number?
The practice phone on file for Dr. Wagoner is (815) 756-1521.
What is Dr. Jack A. Wagoner's medical license number?
Dr. Wagoner holds Illinois license 036-100314.
Which hospitals is Dr. Jack A. Wagoner affiliated with?
Dr. Wagoner practices at Northwestern Medicine Kishwaukee Hospital in Dekalb, Illinois. Dr. Wagoner is also affiliated with Northwestern Medicine Central DuPage Hospital. Dmand AI links Dr. Wagoner to 1 more hospital.
What medical group is Dr. Jack A. Wagoner part of?
Dr. Wagoner is linked to Northwestern Medicine Regional Medical Group.
Does Dr. Jack A. Wagoner accept Medicare?
Yes. CMS data shows Dr. Wagoner billed Medicare for 468 services in 2024, and Dr. Wagoner accepts Medicare assignment.
What is Dr. Jack A. Wagoner's MIPS score?
Dr. Wagoner's MIPS final score for performance year 2024 is 96 out of 100, reported through an alternative payment model (APM).
How many Medicare patients does Dr. Jack A. Wagoner see?
CMS counts 266 Medicare patients who saw Dr. Wagoner in 2024, with an average age of 73.
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What services does Dr. Jack A. Wagoner bill to Medicare?
In 2024, Dr. Wagoner's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99231) and office visit, established patient (99214).
Where did Dr. Jack A. Wagoner go to medical school?
Dr. Wagoner graduated from Southern Illinois University School of Medicine in 1993.
What drugs does Dr. Jack A. Wagoner prescribe most?
In 2024 Medicare Part D data, Dr. Wagoner's most prescribed drugs by claims were Pantoprazole Sodium, Tramadol HCl and Famotidine.
Has Dr. Jack A. Wagoner received payments from drug or device companies?
CMS Open Payments shows $66,141 in general payments to Dr. Wagoner from 9 companies from 2016 to 2024. The largest total came from Intuitive Surgical, Inc.
How long has Dr. Jack A. Wagoner been practicing?
Dr. Wagoner graduated from medical school in 1993, 33 years ago.
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