PROVIDER PROFILE · NPI 1518979665

Jack WagonerM.D.

PRACTICEDEKALB CLINIC CHARTEREDSee all providers at this practice →

General SurgerySycamore, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

363

Unique beneficiaries

—

Total services

468

Distinct HCPCS

Medicare payment

$51K

Peer benchmark

Total Medicare services vs. 756 General Surgery providers in IL — top quintile (cohort median 318).

PRESCRIBING · PART D · 2024

Total Rx claims

185

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

6.5%

Top prescribed drugs

Pantoprazole Sodium63 claims

Tramadol Hcl55 claims

Famotidine30 claims

Metronidazole14 claims

Hydrocodone/Acetaminophen12 claims

QUALITY · MIPS · 2024

Final MIPS score

95.6

Quality

88.5

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.87%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$5K

Payment records

By payment type

Education$4K

Food and Beverage$583

REFERRAL NETWORK

Where Jack Wagoner's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 24 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
HAAB, ROGER	33	205
Rakesh Patel Internal Medicine · Allen, TX	32	153
Michael Hutchinson Diagnostic Radiology · Aurora, IL	30	83
Saim Qazi Pathology · Maywood, IL	29	114
GIBSON, DAVID	27	83
RIFENBURG, NANCY	27	69
Aparna Vootkur Diagnostic Radiology · Aurora, IL	25	74
James Studlo Diagnostic Radiology · Aurora, IL	24	69
Sandy Kwak Diagnostic Radiology · Aurora, IL	21	47
Stephen Goldman General Surgery · Sycamore, IL	21	73
Todd Kroll Pathology · Elgin, IL	20	81
Nicholas Kennedy Interventional Radiology · Kamuela, HI	20	52

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history