Jackson Wagoner, MD
Pain Medicine (Anesthesiology) Physician · Casper, WY
Jackson Wagoner, MD is a pain medicine (anesthesiology) physician with a practice address in Casper, Wyoming, and NPI 1689137408, issued on Apr 9, 2019. Check the license (Wyoming 19414A, as entered in NPPES) on the Wyoming Board of Medicine; the Medicare figures below come from public CMS files.
- Name
- Jackson Wagoner
- Credential
- MD
- Primary taxonomy
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License numbers
- 19414A WY
69349 AZ
ME169309 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1541 Diamond Dr, Casper, WY 82601
- Phone
- (307) 439-1097
- Enumerated
- Apr 9, 2019
- Record last updated
- Apr 8, 2026
- Medicare enrollment
- Enrolled (PECOS I20260219002020); accepts Medicare assignment
- Medical or professional school
- Nebraska College Of Medicine, 2019
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
4 nearest pain medicine (anesthesiology) physician records → All 5 in Wyoming → Look up another NPI →
Also registered at 1541 Diamond Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Cristian Balcescu, MDOrthopaedic Surgery of the Spine Physician1306231832
- Amy Berry, LCSWClinical Social Worker1538568761
- Jan Demoulin, LCSWMental Health Counselor1609229020
- Jennifer Frontiero, PT, DPTPhysical Therapist1558553339
- Kristin Glisczinski, DPTPhysical Medicine & Rehabilitation Physician1801325956
- Bengt Grua, MDPain Medicine (Anesthesiology) Physician1275093650
Verify Jackson Wagoner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWyoming Board of Medicine
Search for license 19414ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average pain medicine (anesthesiology) physician in 2024
72 Medicare Part D claims for 41 beneficiaries, against an average of 1,750 among the 2,982 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 21 claims were for opioids.
Most prescribed
- Oxycodone Hcl18 claims
- Amitriptyline Hcl16 claims
- Gabapentin12 claims
- Duloxetine Hcl11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 97.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $3,886.04
26 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 2,789 providers of this specialty with any payment received $3,225.41 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 2 group practices
- Florida Clinical Practice Association IncGainesville, FL
- Summit Memorial Medical Group LLCCasper, WY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pain Medicine (Anesthesiology) Physician providers in Wyoming
There are 5 pain medicine (anesthesiology) physician records in Wyoming.
All 5 in Wyoming → Every provider in Casper → Pain Medicine (Anesthesiology) Physician nationwide →
The 4 pain medicine (anesthesiology) physician records with the nearest ZIP codes
- Bengt Grua, MDCasper, WY 826011275093650
- John Mansell, M.D.Gillette, WY 827181972535227
- Jed Shay, M.D.Rock Springs, WY 829011851383822
- William Denk, MDCheyenne, WY 820011407340771
Common questions
What is Jackson Wagoner, MD's NPI number?
Jackson Wagoner, MD's National Provider Identifier (NPI) is 1689137408, issued on Apr 9, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Jackson Wagoner, MD located?
The NPPES record lists a practice address at 1541 Diamond Dr, Casper, WY, 82601. Phone: (307) 439-1097. Providers update this record themselves, so call before visiting.
How can I verify Jackson Wagoner, MD's license?
NPPES lists Wyoming license number 19414A, as entered by the provider. Search the Wyoming Board of Medicine at https://wyomedboard.wyo.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jackson Wagoner, MD prescribe under Medicare Part D?
In 2024, Jackson Wagoner, MD had 72 Medicare Part D claims for 41 beneficiaries; the average among pain medicine (anesthesiology) physician prescribers was 1,750. Part D covers Medicare prescriptions only.
What is Jackson Wagoner, MD's MIPS final score?
The 2023 MIPS final score is 97.6 of 100. 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.