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MR. JEREMY GAYLON WALDIE PA-C
NPI 1043546534
Physician Assistant in Salem, OR

Active since October 19, 2009PECOS EnrolledAccepts Medicare Assignment
374 OWENS ST SE, SALEM, OR 97302(503) 399-1400(503) 399-1406 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeremy Gaylon Waldie Pa-c NPPES

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

MR. JEREMY GAYLON WALDIE PA-C (NPI 1043546534) is an individual physician assistant in Salem, Oregon, licensed in Oregon (PA165500) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with West Valley Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1043546534
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JEREMY GAYLON WALDIECredential: PA-C
Location Address374 OWENS ST SESalem, OR 97302-4183
Mailing Address374 Owens St SeSalem, OR 97302-4183 · (503) 399-1400 · Fax (503) 399-1406
Phone(503) 399-1400
Fax(503) 399-1406
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 19, 2009
Last NPPES UpdateFebruary 13, 2020
✔ NPI 1043546534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA165500
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA60120298 (WA)
374 OWENS ST SE, Salem, OR 97302
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Other Identifiers 1

Medicaid50071199OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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

Mr. Jeremy Gaylon Waldie Pa-c 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 ID941341374
PECOS Enrollment IDI20140422001307
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.

Areas of Expertise CMS Part B claims 4

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
37 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 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.
24 services23 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

West Valley Hospital

Critical Access Hospitals · Dallas, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381308
Location525 SE Washington StreetDallas, OR 97338 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97302 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 12

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

ALLISON CELAURO ARNP
Nurse Practitioner (Family)
374 OWENS ST SE
SALEM, OR 97302
Marion County (503) 972-0235
VIDA FAMILY MEDICINE
Nurse Practitioner (Psychiatric/Mental Health)
374 OWENS ST SE
SALEM, OR 97302
Marion County (503) 399-1400
CONNIE JO ALBEE CHW
Community Health Worker
374 OWENS ST SE
SALEM, OR 97302
Marion County (866) 972-0235
MS. NANCY LUDWIG MS, RD, LD
Dietitian, Registered
374 OWENS ST SE, SUITE 100
SALEM, OR 97302
Marion County (503) 399-1400
DR. THOMAS PATSCAL CORDON ND, MPH, LMT
Naturopath
374 OWENS ST SE
SALEM, OR 97302
Marion County (503) 972-0235
LISA RENEE ANGELESCO DNP, APRN, FNP-C
Family Medicine (Adult Medicine)
374 OWENS ST SE
SALEM, OR 97302
Marion County (503) 972-0235
GROUNDSWELL INTEGRATIVE HEALTHCARE INC.
Family Medicine
374 OWENS ST SE, #100
SALEM, OR 97302
Marion County (503) 399-1400
MRS. ANN M GOULD PA
Physician Assistant
374 OWENS ST SE, STE 100
SALEM, OR 97302
Marion County (503) 399-1400

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 Jeremy Waldie's NPI number?

The NPI number for Jeremy Waldie is 1043546534. It was assigned to this individual provider in the NPPES registry on October 19, 2009.

Where is Jeremy Waldie located?

Jeremy Waldie practices at 374 Owens St SE, Salem, OR 97302. The listed phone number is (503) 399-1400.

What is Jeremy Waldie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jeremy Waldie enrolled in Medicare?

Yes. Jeremy Waldie 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.

What insurance does Jeremy Waldie accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Jeremy Waldie 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 Jeremy Waldie affiliated with any hospitals?

According to CMS data, Jeremy Waldie is affiliated with West Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Waldie was last updated on February 13, 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.