Jack Wagoner, M.D.
Anesthesiology Physician · Jackson, MI
Jack Wagoner, M.D. is an anesthesiology physician with a practice address in Jackson, Michigan, and NPI 1598700072, issued on Jun 18, 2006. Check the license (Michigan 4301-407025, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Jack Wagoner
- Credential
- M.D.
- Primary taxonomy
- Anesthesiology Physician 207L00000X
- License number
- 4301-407025 MI
Self-reported in NPPES; status is on the state search - Practice location
- 205 N East Ave, Jackson, MI 49201
- Phone
- (517) 788-4963
- Enumerated
- Jun 18, 2006
- Record last updated
- Nov 6, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (517) 789-5903
- Medicaid ID
- 2737106 MI
- Medicare enrollment
- Enrolled (PECOS I20100625000709); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest anesthesiology physician records → All 1,720 in Michigan → Look up another NPI →
Also registered at 205 N East Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jack Wagoner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 4301-407025Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 83.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $150.82
2 payments; by number, the most common kind was food and beverage; the largest payer was Vertos Medical, Inc. The 17,774 providers of this specialty with any payment received $669.59 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Anesthesia Associates OF Ann Arbor PLLCYpsilanti, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jack Wagoner among 1,720 anesthesiology physician records in Michigan
Jack Wagoner, M.D. is one of 1,720 anesthesiology physician records with a practice address in Michigan. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 55% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated1986 · median 2006 among the 1,126 with a school on file
- Record last updated2007 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207L00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Anesthesiology Physician providers in Michigan
There are 1,720 anesthesiology physician records in Michigan.
All 1,720 in Michigan → Every provider in Jackson → Anesthesiology Physician nationwide →
The 8 anesthesiology physician records with the nearest ZIP codes
- Sara Bachman, MDJackson, MI 492011912068701
- Doris Cralle, M.DJackson, MI 492011245275239
- Eric Davies, MDJackson, MI 492011982710653
- Mark Double, D.O.Jackson, MI 492011669403903
- Bernard Eagleton, MDJackson, MI 492011649211426
- Aruna Kode, M.D.Jackson, MI 492011417984154
- Steven Landau, M.D.Jackson, MI 492011922042803
- Howard Larky, DOJackson, MI 492011013906023
Common questions
What is Jack Wagoner, M.D.'s NPI number?
Jack Wagoner, M.D.'s National Provider Identifier (NPI) is 1598700072, issued on Jun 18, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jack Wagoner, M.D. located?
The NPPES record lists a practice address at 205 N East Ave, Jackson, MI, 49201. Phone: (517) 788-4963. Providers update this record themselves, so call before visiting.
How can I verify Jack Wagoner, M.D.'s license?
NPPES lists Michigan license number 4301-407025, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Jack Wagoner, M.D.'s MIPS final score?
The 2023 MIPS final score is 83.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.