Jacqueline Lee Bogan, D.O.
NPI 1073856761ActiveIndividual· Anesthesiology· Fond Du Lac, WI
Anesthesiology (D.O.) in Fond Du Lac, Wisconsin, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 2013). Medicare paid $14,548 for services to 153 patients in 2024.
Overview
| NPI | 1073856761 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Apr 1, 2013 |
| Last updated in NPPES | Nov 2, 2020 |
| Certified by provider | Nov 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 67077 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 153 |
|---|---|
| Services billed | 165 across 36 procedure codes |
| Paid by Medicare | $14,548 |
Education and affiliations
| Medical school | New York College of Osteo Medicine of New York Institute of Technology |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Anesthesiology |
Medical group
- Agnesian Healthcare IncWaupun, WI · 388 clinicians
Hospital affiliation
- Ssm Health St Agnes Hospital-Fond Du LacFond Du Lac, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 anesthesiologists in Fond Du Lac · All anesthesiologists in Wisconsin