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JACK WAXMAN M.D.
NPI 1104824994
Internal Medicine - Rheumatology in Santa Rosa, CA

Active since July 14, 2005PECOS Enrolled
4015 QUARTZ DR, SANTA ROSA, CA 95405(707) 481-7215 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jack Waxman M.d. NPPES

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

JACK WAXMAN M.D. (NPI 1104824994) is an individual rheumatology provider in Santa Rosa, California, licensed in California (G23398) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104824994
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJACK WAXMANCredential: M.D.
Location Address4015 QUARTZ DRSanta Rosa, CA 95405-5580
Mailing Address4015 Quartz DrSanta Rosa, CA 95405-5580 · (707) 481-7215
Phone(707) 481-7215
Sole ProprietorNo
Enumeration DateJuly 14, 2005
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1104824994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CA · G23398
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4015 QUARTZ DR, Santa Rosa, CA 95405
Open in Google Maps ↗

Other Identifiers 3

Other660002485CA · Railroad Medicare
Medicaid00G233980CA
Other00G233980CA · Blue Shield Of California

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Waxman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
856 services50 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
790 services74 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
57 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

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 Jack Waxman's NPI number?

The NPI number for Jack Waxman is 1104824994. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Jack Waxman located?

Jack Waxman practices at 4015 Quartz Dr, Santa Rosa, CA 95405. The listed phone number is (707) 481-7215.

What is Jack Waxman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jack Waxman enrolled in Medicare?

Yes. Jack Waxman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Waxman was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.