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Active NPI 1861785206 Individual Practitioner Female Practitioner

Jennifer Lee Wagoner , PT

Physical Therapist • Macomb, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jennifer Wagoner, PT is a certified Physical Therapist practicing in Macomb, IL. With approximately 19 years of clinical experience since completing medical education in 2007, Jennifer Wagoner delivers high-quality medical care to the local community at 505 E GRANT ST.

Jennifer Wagoner is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

505 E Grant St

Macomb, IL 614553352

Telephone 3098331733
Associated Practice Facility / Clinic
🏢 Mcdonough Eye Associates Pc Facility NPI 1144224924

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Macomb, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +2.7 yrs vs City Avg
City Avg: 16.3 Yrs
State Avg: 16.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Macomb, IL (12173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagoner (19 Years) 19 Yrs
Macomb Specialty Average (16.3 Years) 16.3 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
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
1,340 91 $138.71 $23.17
97140 Therapy procedure using manual technique, each 15 minutes
139 12 $125.41 $20.04
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
127 34 $153.40 $31.00
97162 Evaluation for physical therapy, typically 30 minutes
93 82 $413.29 $93.89
95992 Repositioning maneuvers for treatment of vertigo, per day
62 26 $383.00 $40.50

Medical Specialties & State Licenses

CMS Verified: 2022-02-10
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License IL 070015942

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

775 Engineering Ave, Springfield, IL 627035909

Phone: 2175224300

Secondary Practice Locations

625 E Monroe St

Cuba, IL 614275109

Phone: 3097855012

Practice Associates & Co-Workers

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

11 Associated Practitioners
Kayla Anderson , CPNP-PC

Nurse Practitioner - Family

NPI 1073398525

CPNPPC

NPI 1104310457

Doctor of Medicine (M.D.)

NPI 1124003843

Doctor of Medicine (M.D.)

NPI 1295712982

Doctor of Medicine (M.D.)

NPI 1477536993

Doctor of Medicine (M.D.)

NPI 1518942754

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 10, 2022

Registered at 505 E GRANT ST, MACOMB, IL 614553352 (Tel: 3098331733)

📍
Updated Business Mailing Address February 10, 2022

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

NPI Profile Active May 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2011

Registered at 625 E MONROE ST, CUBA, IL 614275109 (Tel: 3097855012)

📍
Updated Business Mailing Address May 18, 2011

Registered at 325 JAMESTOWN RD, MACOMB, IL 614559328 (Tel: 8157573954)

👤
Provider Name / Credentials Updated May 18, 2011

Recorded as JENNIFER WAGONER, P.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2011

Physical Therapist (License #070015942 in IL)

🟢
Initial NPI Registration & Enumeration May 18, 2011

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: 1861785206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2011
Last Update: February 10, 2022
Sole Proprietor: No

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

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.