Active NPI 1598700072 Individual Practitioner Male Practitioner

Dr. Jack Wagoner , MD

Anesthesiology • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Wagoner, MD is a certified Anesthesiology practicing in Jackson, MI. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Wagoner delivers high-quality medical care to the local community at 205 N EAST AVE.

Dr. Wagoner is affiliated with Anesthesia Associates Of Ann Arbor Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for lens surgery, anesthesia for procedure on stomach for obesity including use of an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small 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

205 N East Ave

Jackson, MI 492011753

Telephone 5177884963

Fax 5177895903

Associated Practice Facility / Clinic

🏢 Jackson Radiology Consultants, P C Facility NPI 1295736015

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Jackson, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +18.4 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

29 Specialists

Practicing in Jackson, MI (1799 Statewide)

Telehealth Adoption Rate

3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagoner (40 Years) 40 Yrs

Jackson Specialty Average (21.6 Years) 21.6 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
00142 Anesthesia for lens surgery	178	145	$969.89	$70.99
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	12	12	$3360.00	$215.54
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	12	12	$1120.00	$72.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	97	88	$973.20	$60.49
00811 Anesthesia for procedure on large bowel using an endoscope	30	30	$1146.67	$71.95
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	26	26	$240.00	$30.86
00630 Anesthesia for other procedure on lower spine	23	23	$2191.30	$151.60
64450 Injection of anesthetic agent, other peripheral nerve or branch	21	21	$597.00	$21.52
01402 Anesthesia for procedure for total knee joint replacement	21	21	$2041.90	$132.19
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	21	21	$1670.00	$74.08
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	17	17	$1138.82	$70.27
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	16	16	$3060.00	$212.63
00400 Anesthesia for procedure on skin of arms, legs, or trunk	15	13	$1461.33	$92.61
01940 Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance	14	14	$1485.71	$102.93
01942 Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance	14	14	$1497.14	$105.24
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	13	11	$1796.92	$142.70
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	13	13	$1021.54	$64.50
01214 Anesthesia for total hip replacement	12	12	$2293.33	$149.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	109	88	$982.02	$82.12
00811 Anesthesia for procedure on large bowel using an endoscope	32	32	$1130.00	$74.20
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	28	28	$240.00	$31.59
64450 Injection of anesthetic agent, other peripheral nerve or branch	20	20	$626.80	$23.23
01402 Anesthesia for procedure for total knee joint replacement	19	19	$1987.37	$132.83
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	18	18	$1670.00	$62.71
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	17	17	$1562.35	$109.86
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	16	16	$1140.00	$78.72
00630 Anesthesia for other procedure on lower spine	16	15	$2190.00	$190.78
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	12	12	$2933.33	$264.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	102	93	$939.10	$71.55
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$240.00	$32.64
00630 Anesthesia for other procedure on lower spine	26	26	$2108.62	$178.83
00811 Anesthesia for procedure on large bowel using an endoscope	24	24	$1033.08	$71.37
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	20	20	$1501.50	$115.30
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	20	20	$1670.00	$64.89
01402 Anesthesia for procedure for total knee joint replacement	19	19	$1993.89	$140.85
64450 Injection of anesthetic agent, other peripheral nerve or branch	19	19	$597.00	$22.86
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	17	17	$2817.29	$223.74
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	14	14	$1496.00	$133.63
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	14	14	$1089.00	$73.99
01214 Anesthesia for total hip replacement	12	12	$2284.33	$162.16
00812 Anesthesia for exam of colon using an endoscope	11	11	$826.00	$56.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	46	44	$947.43	$77.29
00811 Anesthesia for procedure on large bowel using an endoscope	28	28	$1056.00	$74.21
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	27	27	$1157.85	$81.91
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$240.00	$33.51
00630 Anesthesia for other procedure on lower spine	20	19	$1925.00	$230.04
00812 Anesthesia for exam of colon using an endoscope	18	18	$872.67	$60.34
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	15	15	$1336.00	$67.17
01402 Anesthesia for procedure for total knee joint replacement	12	12	$1976.33	$144.33
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	11	11	$1470.00	$152.38
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	11	11	$2786.00	$256.16
00400 Anesthesia for procedure on skin of arms, legs, or trunk	11	11	$1204.00	$102.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	53	51	$941.43	$106.32
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	51	51	$1141.41	$93.73
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	40	40	$2902.90	$407.25
00811 Anesthesia for procedure on large bowel using an endoscope	30	30	$1052.33	$73.74
00630 Anesthesia for other procedure on lower spine	30	29	$1971.20	$279.02
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	27	25	$1545.70	$210.81
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$240.00	$33.35
00400 Anesthesia for procedure on skin of arms, legs, or trunk	15	15	$1673.47	$151.77
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	12	12	$2669.33	$218.94
00812 Anesthesia for exam of colon using an endoscope	12	12	$834.17	$58.15
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	11	11	$1670.00	$80.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	82	81	$748.54	$72.08
00142 Anesthesia for lens surgery	76	76	$707.76	$68.31
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	76	75	$774.34	$74.56
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	41	41	$2063.17	$214.45
00910 Anesthesia for other procedure on urinary system through urethra	28	26	$640.36	$61.09
00812 Anesthesia for exam of colon using an endoscope	27	27	$590.74	$57.33
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	26	26	$1155.00	$122.83
00813 Anesthesia for procedure on small and large bowel using an endoscope	23	23	$927.83	$90.19
00400 Anesthesia for procedure on skin of arms, legs, or trunk	17	15	$1112.94	$109.49
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	14	14	$1123.57	$109.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$125.00	$40.68
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	12	12	$1567.50	$173.25
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	12	12	$880.00	$85.96
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$95.00	$33.24
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	11	11	$1660.00	$157.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00810 Anesthesia for procedure on lower intestine using an endoscope	124	123	$874.68	$83.07
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	115	112	$810.17	$76.82
00142 Anesthesia for lens surgery	85	84	$709.18	$66.39
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	60	60	$2033.17	$214.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	31	$125.00	$39.14
00400 Anesthesia for procedure on skin of arms, legs, or trunk	32	32	$945.31	$91.44
01402 Anesthesia for procedure for total knee joint replacement	31	31	$1713.87	$168.83
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	23	23	$1100.00	$104.73
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	23	23	$1721.74	$176.52
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$95.00	$32.96
00910 Anesthesia for other procedure on urinary system through urethra	21	21	$644.29	$60.84
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	16	16	$450.00	$78.94
01214 Anesthesia for total hip replacement	13	13	$1751.54	$159.94
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	11	11	$1060.00	$102.43

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License MI 4301-407025

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2737106 (MI)

Hospital & Practice Group Affiliations

Anesthesia Associates Of Ann Arbor Pllc

135 S Prospect St, Ypsilanti, MI 481987914

Phone: 7345474700

Anesthesia Associates Of Ann Arbor Pllc

2006 Hogback Rd, Ann Arbor, MI 481059750

Anesthesia Associates Of Ann Arbor Pllc

775 S Main St, Chelsea, MI 481181383

Phone: 7344753245