Jacob M. Waidelich, MD
NPI 1194846998ActiveIndividual· Anesthesiology· Fond Du Lac, WI
Anesthesiology (MD) in Fond Du Lac, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2004). Medicare paid $15,726 for services to 120 patients in 2024. Medtronic, Inc. reported $19.57 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1194846998 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 2, 2007 |
| Last updated in NPPES | Dec 22, 2020 |
| Certified by provider | Dec 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 52040-20 | 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 | 120 |
|---|---|
| Services billed | 156 across 41 procedure codes |
| Paid by Medicare | $15,726 |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2004 |
| 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)
- 2024$19.57 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $19.57 | 1 |
What the 2024 payments were for
- Food and Beverage$19.57 · 1 payment
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