DR. JESSE JULIAN WAGGONER M.D.
NPI 1003081357
Internal Medicine - Infectious Disease in Belmont, CA

Q: What is Jesse Waggoner's NPI number?

The NPI number for Jesse Waggoner is 1003081357. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Q: What is Jesse Waggoner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Waggoner was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 28, 2008PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

1301 SHOREWAY RD, SUITE 100, BELMONT, CA 94002(650) 596-7000(650) 596-7096 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jesse Julian Waggoner M.d. NPPES

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

DR. JESSE JULIAN WAGGONER M.D. (NPI 1003081357) is an individual infectious disease provider in Belmont, California, licensed in California (A110151) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2006).

NPPES Registry Identity

NPI1003081357

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. JESSE JULIAN WAGGONERCredential: M.D.

Location Address1301 SHOREWAY RD, SUITE 100Belmont, CA 94002-4151

Mailing Address1301 Shoreway Rd, Suite 100Belmont, CA 94002-4151 · (650) 596-7000 · Fax (650) 596-7096

Phone(650) 596-7000

Fax(650) 596-7096

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2006

Enumeration DateApril 28, 2008

Last NPPES UpdateJune 16, 2014

✔ NPI 1003081357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in CA · A110151

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License A110151 (CA)

1301 SHOREWAY RD, Belmont, CA 94002

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jesse Julian Waggoner 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 ID9537210331

PECOS Enrollment IDI20160824002924

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94002 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 9

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

DIGNITY HEALTH MEDICAL FOUNDATION

Clinic/Center (Multi-Specialty)

1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002

San Mateo County (650) 596-7000

SELECT PHYSICAL THERAPY HOLDINGS INC

Durable Medical Equipment & Medical Supplies

1301 SHOREWAY RD, NUMBER 280
BELMONT, CA 94002

San Mateo County (650) 591-9581

DR. ELIZABETH SODA MD

Internal Medicine (Infectious Disease)

1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002

San Mateo County (650) 596-7000

DR. GARY A GREENSWEIG D.O.

Family Medicine

1301 SHOREWAY RD, STE. 100
BELMONT, CA 94002

San Mateo County (650) 596-7000

LYNDA ANN MACKIN NP

Nurse Practitioner (Adult Health)

1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002

San Mateo County (650) 596-7000

DR. ELIZABETH KOCOT M.D.

Internal Medicine

1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002

San Mateo County (650) 596-7000

CHW MEDICAL FOUNDATION

Clinic/Center (Multi-Specialty)

1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002

San Mateo County (650) 596-7027

DR. ADIL K JADALLAH M.D.

Family Medicine

1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002

San Mateo County (650) 596-7000

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 Jesse Waggoner's NPI number?

The NPI number for Jesse Waggoner is 1003081357. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Jesse Waggoner located?

Jesse Waggoner practices at 1301 Shoreway Rd Suite 100, Belmont, CA 94002. The listed phone number is (650) 596-7000.

What is Jesse Waggoner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Jesse Waggoner enrolled in Medicare?

Yes. Jesse Waggoner 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.

When was this NPI record last updated?

The NPPES record for Jesse Waggoner was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.