Jon Anthony Wagnon, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036120316 Issued in IL

Practice address

1368 Dadrian Professional Park
Godfrey, IL 62035-1685

Phone

(618) 433-9701

Fax

(618) 433-9706

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine, Osteopathic Manipulative Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis Hospital Hospital, Litchfield, IL, CCN 141350
• Alton Memorial Hospital Hospital, Alton, IL, CCN 140002
• Osf Saint Anthony'S Health Center Hospital, Alton, IL, CCN 140052
• Memorial Hospital Hospital, Belleville, IL, CCN 140185
• Jersey Community Hospital Hospital, Jerseyville, IL, CCN 140059

Merit-based Incentive Payment System (MIPS)

Final score

93.41 of 100Reported as group

Quality

86.81

Improvement activities

40

Cost

77.34

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jon.wagnon.1@33511.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1912283110
  Medicare reassignment Care Compare group NPD
• Optimal Health Medicine LLC

  • Family Medicine Physician
  • Godfrey, IL
  • NPI 1316299332
  Medicare reassignment Authorized official
• St Francis Hospital of the Hospital Sisters of the Third Order of St F

  • Critical Access Hospital
  • Litchfield, IL
  • NPI 1326057076
  Medicare reassignment NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1134677370
  NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Springfield, IL
  • NPI 1871360297
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alton Memorial Hospital

  • Ambulance
  • Alton, IL
  • NPI 1063669117

  Hospital

  Care Compare affiliation
• Alton Memorial Hospital

  • General Acute Care Hospital
  • Alton, IL
  • NPI 1548278476
  Care Compare affiliation
• Jersey Community Hospital

  • General Acute Care Hospital
  • Jerseyville, IL
  • NPI 1184630519
  Care Compare affiliation
• Osf Healthcare System

  • General Acute Care Hospital
  • Alton, IL
  • NPI 1710396932
  Care Compare affiliation
• Protestant Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Belleville, IL
  • NPI 1982796181
  Care Compare affiliation
• St Francis Hospital of the Hospital Sisters of the Third Order of St F

  • Critical Access Hospital
  • Litchfield, IL
  • NPI 1326057076
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1265623268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 DADRIAN PROFESSIONAL PARK",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351685",
            "telephone_number": "618-433-9701",
            "fax_number": "618-433-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 DADRIAN PROFESSIONAL PARK",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351685",
            "telephone_number": "618-433-9701",
            "fax_number": "618-433-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNON",
        "first_name": "JON",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006033803",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036120316",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036120316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120316",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Trask
• Lili Amy Tseng, M.D.
• Lynsey A Vahle-Pieper
• Katelyn Elizabeth Vallow
• Christina Varady, APRN
• Christopher S Wagoner, MD
• Wal-Mart Stores Inc
• Briana Waldeck, N.P.
• Walmart Inc.
• Maria Jean Waltz, LMT

• Emergency Medicine Physician in Godfrey, IL
• Providers in Godfrey, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.