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

Jack Wagoner, MD

Individual provider Surgery Physician · NPI 1518979665

Jack Wagoner, MD practises General Surgery in Sycamore, Illinois. Graduated from Southern Illinois University School of Medicine in 1993, 33 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
33
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2006
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

1850 Gateway Dr
Sycamore, IL 60178-3192 Not confirmed with CMS for 14 years — call before visiting
Phone: (815) 758-8671
Fax: (815) 758-5610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036-100314 (IL)

Record details

NPI number1518979665
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESJune 11, 2012

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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.

Hernia repair (minimally invasive) 15 times · 82nd percentile
Colonoscopy 19 times · 47th percentile
Upper gastrointestinal (GI) endoscopy for acid reflux 11 times · 42nd percentile
Hernia repair - groin (open) 1–10 times
Melanoma (skin cancer) excision 1–10 times
Removal of skin lesions 1–10 times
Removal of tissue 1–10 times
Removal or shaving of skin growth 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 patients266
Services billed 630 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

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.

Practises at

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

  • Valley West Community Hospital Hospital · Sandwich, IL
  • Northwestern Medicine Central Dupage Hospital Hospital · Winfield, IL
  • Northwestern Medicine Kishwaukee Hospital Hospital · Dekalb, IL

Colleagues at Central Dupage Physician Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1094 clinicians in the practice; 12 are shown here.

Other providers in Sycamore