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Active NPI 1073856761 Individual Practitioner Female Practitioner

Dr. Jacqueline Lee Bogan , DO

Anesthesiology • Fond Du Lac, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline Bogan, DO is a certified Anesthesiology practicing in Fond Du Lac, WI. With approximately 13 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 2013, Dr. Bogan delivers high-quality medical care to the local community at 430 E DIVISION ST.

Dr. Bogan is affiliated with Agnesian Healthcare Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on small and large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

430 E Division St

Fond Du Lac, WI 549354560

Telephone 9209292300
Fax 6082626247
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Fond Du Lac, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -9.7 yrs vs City Avg
City Avg: 22.7 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
19 Specialists

Practicing in Fond Du Lac, WI (1360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
95.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bogan (13 Years) 13 Yrs
Fond Du Lac Specialty Average (22.7 Years) 22.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
26 26 $1498.49 $71.96
00811 Anesthesia for procedure on large bowel using an endoscope
18 18 $1261.68 $59.96
00813 Anesthesia for procedure on small and large bowel using an endoscope
14 14 $1708.44 $83.73
00812 Anesthesia for exam of colon using an endoscope
11 11 $1372.50 $56.72

Medical Specialties & State Licenses

CMS Verified: 2020-11-02
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License WI 67077

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Hospital & Practice Group Affiliations

Agnesian Healthcare Inc

420 E Division St, Fond Du Lac, WI 549354560

Phone: 9209237400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jacqueline Lemmenes , CST

Specialist/Technologist, Other

NPI 1003897315
Dr. Ann Cappellari , MD

Emergency Medicine

NPI 1013014893

Doctor of Medicine (M.D.)

Kierstyn Lomprey , FNP-BC

Nurse Practitioner

NPI 1033785530

Family Nurse Practitioner (Board Certified)

Videls Mecha , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043809726

Certified Registered Nurse Anesthetist

Kendalyn Voss

Speech-Language Pathologist

NPI 1053004929
NPI 1053265975

Bachelor of Science in Nursing, Registered Nurse, CNE

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 24, 2018

Registered at 430 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209292300)

📍
Updated Business Mailing Address July 24, 2018

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560

NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2017

Registered at 600 HIGHLAND AVE, MADISON, WI 537924668 (Tel: 6082638100)

📍
Updated Business Mailing Address June 06, 2017

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

👤
Provider Name / Credentials Updated June 06, 2017

Recorded as JACQUELINE BOGAN, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Anesthesiology (License #67077 in WI)

NPI Profile Active June 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2013

Registered at 2333 BIDDLE AVE, HENRY FORD WYANDOTTE HOSPITAL, WYANDOTTE, MI 481924668 (Tel: 7342879029)

📍
Updated Business Mailing Address June 26, 2013

Registered at 2333 BIDDLE AVE, HENRY FORD WYANDOTTE HOSPITAL, WYANDOTTE, MI 481924668

👤
Provider Name / Credentials Updated June 26, 2013

Recorded as JACQUELINE BOGAN, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2013

Internal Medicine (License #5101020526 in MI)

🟢
Initial NPI Registration & Enumeration April 01, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073856761
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2013
Last Update: November 02, 2020
Sole Proprietor: No

Mailing Address

420 E Division St

Fond Du Lac, WI 549354560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.