Jackson Wagoner, MD
NPI 1689137408ActiveIndividual· Anesthesiology, Pain Medicine· Casper, WY
Anesthesiology, Pain Medicine (MD) in Casper, Wyoming, trained at Nebraska College of Medicine (class of 2019). 62 Medicare patients in 2024, $6,551 paid; all of their 72 Part D prescriptions were generic. Genesys Orthopedics Systems, L.L.C. was the largest of 7 companies reporting payments in 2025, $2,025 in all, mostly travel and lodging.
Overview
| NPI | 1689137408 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 9, 2019 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | 19414A | WY |
| Anesthesiology, Pain Medicine | 207LP2900X | ME169309 | FL |
| Anesthesiology | 207L00000X | 69349 | AZ |
| Anesthesiology | 207L00000X | ME169309 | FL |
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 (FL); Practitioner - Anesthesiology (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 87 across 24 procedure codes |
| Paid by Medicare | $6,551 |
Part D prescriptions in 2024
| Prescriptions (claims) | 72 · 83 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $435.39 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Nebraska College of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Anesthesiology |
| Telehealth | Offers telehealth |
Medical groups
- Summit Memorial Medical Group LLCCasper, WY · 39 clinicians
- Gem City Bone and Joint PCLaramie, WY · 23 clinicians
Hospital affiliations
- Campbell County HealthGillette, WY
- Memorial Hospital of Converse CountyDouglas, WY
- Platte County HospitalWheatland, WY
- Sagewest Health CareRiverton, WY
- Summit Medical CenterCasper, WY
Industry payments (Open Payments)
- 2025$2,025 · 13 payments from 7 companies
- 2024$3,886 · 26 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Genesys Orthopedics Systems, L.L.C. | $1,342 | 5 |
| Boston Scientific Corporation | $316.87 | 3 |
| Globus Medical, Inc. | $131.35 | 1 |
| Si-Bone, Inc. | $96.57 | 1 |
| Biotronik Nro, Inc. | $66.59 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,063 · 2 payments
- Food and Beverage$946.98 · 10 payments
- Gift$15.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pain medicine anesthesiologists in Casper
- 1275093650
- 1376028225