Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Jackson Wagoner, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1689137408

Dr. Jackson Wagoner, MD practises Anesthesiology in Casper, Wyoming. Graduated from Nebraska College of Medicine in 2019, 7 years ago. Practices with Summit Memorial Medical Group LLC, a 40-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Florida and Wyoming.

Years since qualifying
7
Trained at
Nebraska College of Medicine
Licensed in
AZ, FL, WY
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1541 Diamond Dr
Casper, WY 82601-6247
Phone: (307) 439-1097
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1501 N Campbell Ave Rm 4401, Tucson, AZ 85724-0001 — (520) 626-7721
  • 1600 Sw Archer Rd, Gainesville, FL 32610-1702 — (352) 273-8610
  • 2600 Sixth St Sw, Canton, OH 44710-1702 — (330) 452-9911

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 19414A (WY)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence ME169309 (FL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 69349 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence ME169309 (FL)

Record details

NPI number1689137408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolNEBRASKA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Summit Memorial Medical Group Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Laminectomy or laminotomy (partial removal of spine bones) 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients62
Services billed 87 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Travel and Lodging $1,063 2 payments · travel or lodging paid or reimbursed, such as to attend a conference
Food and Beverage $947 10 payments · a meal or drink at a meeting or visit, not a fee
Gift $15 1 payment

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Summit Memorial Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 40 clinicians in the practice; 12 are shown here.

Other providers in Casper