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JACOB LEVI WAGNER M.D.
NPI 1235225459
Surgery in Dubuque, IA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
1515 DELHI ST, SUITE 200, DUBUQUE, IA 52001(563) 557-7000(563) 589-4050 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Levi Wagner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB LEVI WAGNER M.D. (NPI 1235225459) is an individual surgery provider in Dubuque, Iowa, licensed in Iowa (37907) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Midwest Medical Center, and maintains a secondary practice location in Galena.

NPPES Registry Identity

NPI1235225459
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJACOB LEVI WAGNERCredential: M.D.
Location Address1515 DELHI ST, SUITE 200Dubuque, IA 52001-6320
Mailing Address1515 Delhi St, Suite 200Dubuque, IA 52001-6320 · (563) 557-7000 · Fax (563) 589-4050
Phone(563) 557-7000
Fax(563) 589-4050
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2006
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
✔ NPI 1235225459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IA · 37907
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1515 DELHI ST, Dubuque, IA 52001
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Secondary Practice Location 1

Location 11 Medical Center DrGalena, IL 61036-8118 · Phone (815) 777-1340

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Levi Wagner M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234373499
PECOS Enrollment IDI20130910000590, I20200128003137
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jacob Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dubuque Surgery PC
Same address
Surgery
1515 DELHI STREET, SUITE 200
Dubuque, IA 52001
  • Reassigned Medicare billing, Iowa and Wisconsin enrollments
  • 4 clinicians in this Medicare group
NPI 1508877283 (563) 557-7000
Midwest Medical Center
12 mi
Critical Access
ONE MEDICAL CENTER DRIVE
Galena, IL 61036
  • Reassigned Medicare billing, Illinois enrollment
  • 71 clinicians in this Medicare group
NPI 1952409765 (815) 776-7274
Jackson County Public Hospital
31 mi
Emergency Medical Services
601 HOSPITAL DRIVE
Maquoketa, IA 52060
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1912960758 (Iowa), NPI 1326002643 (Iowa)
  • 43 clinicians in this Medicare group
NPI 1689705949 (563) 652-2474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Midwest Medical Center

Critical Access Hospitals · Galena, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141302
Location1 Medical Center DriveGalena, IL 61036 · Jo Daviess County
Emergency services

Finley Hospital

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160117
Location350 North Grandview AvenueDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Jackson County Regional Health Center

Critical Access Hospitals · Maquoketa, IA
OwnershipGovernment - Local
CMS Certification Number161329
Location700 W Grove StMaquoketa, IA 52060 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA J. KONZ M.D.
Internal Medicine
1515 DELHI ST, STE 100
DUBUQUE, IA 52001
Dubuque County (563) 557-9111
DR. ALEXANDER P JOHNSON M.D.
Hospitalist
1515 DELHI ST, SUITE 100
DUBUQUE, IA 52001
Dubuque County (563) 557-9111
KRISTIN ELIZABETH NELSON M.D.
Internal Medicine
1515 DELHI ST, STE 100
DUBUQUE, IA 52001
Dubuque County (563) 557-9111
BENJAMIN KUMOR M.D.
Family Medicine (Adult Medicine)
1515 DELHI ST, SUITE 100
DUBUQUE, IA 52001
Dubuque County (563) 557-9111
ALLEN GERARD MEURER M.D.
Internal Medicine
1515 DELHI ST, STE 100
DUBUQUE, IA 52001
Dubuque County (563) 557-9111
BRETT MAAG
Nurse Anesthetist, Certified Registered
1515 DELHI ST, SUITE 300
DUBUQUE, IA 52001
Dubuque County (563) 557-5991
MARK O LIABOE M.D.
Internal Medicine
1515 DELHI ST, STE 100
DUBUQUE, IA 52001
Dubuque County (563) 557-9111
BRIAN DOUGLAS MORAN M.D.
Internal Medicine
1515 DELHI ST, STE 100
DUBUQUE, IA 52001
Dubuque County (563) 557-9111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Wagner's NPI number?

The NPI number for Jacob Wagner is 1235225459. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Jacob Wagner located?

Jacob Wagner practices at 1515 Delhi St Suite 200, Dubuque, IA 52001. The listed phone number is (563) 557-7000.

What is Jacob Wagner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jacob Wagner enrolled in Medicare?

Yes. Jacob Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacob Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Wagner reassigns Medicare benefits to 3 organizations: Dubuque Surgery PC (Dubuque, IA), Midwest Medical Center (Galena, IL) and Jackson County Public Hospital (Maquoketa, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Wagner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 5 other insurers list Jacob Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Wagner affiliated with any hospitals?

According to CMS data, Jacob Wagner is affiliated with Midwest Medical Center, Finley Hospital and Jackson County Regional Health Center.

When was this NPI record last updated?

The NPPES record for Jacob Wagner was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.