Jack Wagoner, M.D.
NPI 1518979665ActiveIndividual· Surgery· Sycamore, IL
Surgery (M.D.) in Sycamore, Illinois, trained at Southern Illinois University School of Medicine (class of 1993). 266 Medicare patients in 2024, $98,104 paid; nearly all of their 246 Part D prescriptions were generic (98%). Intuitive Surgical, Inc. was the largest of 4 companies reporting payments in 2024, $4,600 in all, mostly education.
Overview
| NPI | 1518979665 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 13, 2006 |
| Last updated in NPPES | Jun 11, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 036-100314 | IL |
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 - General Surgery (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 266 |
|---|---|
| Services billed | 630 across 92 procedure codes |
| Paid by Medicare | $98,104 |
Part D prescriptions in 2024
| Prescriptions (claims) | 246 · 389 30-day fills |
|---|---|
| Patients | 131 |
| Total drug cost | $2,668 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | Southern Illinois University School of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | General Surgery |
Medical groups
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
- Central Dupage Physician GroupGeneva, IL · 1,080 clinicians
Hospital affiliations
- Northwestern Medicine Central Dupage HospitalWinfield, IL
- Northwestern Medicine Kishwaukee HospitalDekalb, IL
- Valley West Community HospitalSandwich, IL
Industry payments (Open Payments)
- 2024$4,600 · 6 payments from 4 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $4,167 | 3 |
| Abbott Laboratories | $228.00 | 1 |
| Si-Bone, Inc. | $177.12 | 1 |
| Medtronic, Inc. | $27.57 | 1 |
What the 2024 payments were for
- Education$4,000 · 1 payment
- Food and Beverage$599.64 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general surgeons in Sycamore
- 1629080775
- 1477577492