DR. JON ANTHONY WAGNON D.O. NPI 1265623268

NPI Information

  • NPI: 1265623268
  • Provider Name: DR. JON ANTHONY WAGNON, D.O.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1368 DADRIAN PROFESSIONAL PARK
    GODFREY, IL
    ZIP 62035
  • Phone: (618) 433-9701

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NPI Details

DR. Jon Anthony Wagnon, D.O. is an emergency medicine in Godfrey, IL with 20 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Jon Anthony Wagnon, D.O. NPI is 1265623268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1368 DADRIAN PROFESSIONAL PARK
GODFREY, IL
ZIP 62035-685
Phone: (618) 433-9701
Fax: (618) 433-9706

The NPI 1265623268 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Hemoglobin a1c level (HCPCS:83036)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • Emergency department visit for problem of mild to moderate severity (HCPCS:99282)

The enumeration date for this NPI number is 8/5/2007 and was last updated on 1/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2006033803MISSOURINo
2207Q00000XFamily Medicine036120316ILLINOISNo
3207P00000XEmergency Medicine036120316ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036120316MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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