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DR. WADE ALLAN JESPERSEN DPM
NPI 1174964654
Podiatrist - Foot & Ankle Surgery in Queen Creek, AZ

Active since July 11, 2013PECOS EnrolledAccepts Medicare Assignment
86.99/100
CMS Quality Rating
19350 E SILVER CREEK LN, QUEEN CREEK, AZ 85142(480) 718-5400(877) 666-4624 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2019, Jun 27, 2016 (2 updates tracked since 2016).

About Dr. Wade Allan Jespersen Dpm NPPES

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

DR. WADE ALLAN JESPERSEN DPM (NPI 1174964654) is an individual foot & ankle surgery provider in Queen Creek, Arizona, licensed in Arizona (0843) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174964654
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. WADE ALLAN JESPERSENCredential: DPM
Location Address19350 E SILVER CREEK LNQueen Creek, AZ 85142-9064
Mailing Address14050 N 83rd Ave, Ste 290Peoria, AZ 85381-5650 · (888) 495-4489 · Fax (602) 865-8090
Phone(480) 718-5400
Fax(877) 666-4624
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 11, 2013
Last NPPES UpdateMay 9, 20192 updates tracked since enumeration
✔ NPI 1174964654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in AZ · 0843✔ Licensed in PA · SC006516
19350 E SILVER CREEK LN, Queen Creek, AZ 85142
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Dr. Wade Allan Jespersen Dpm 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 ID9739499732
PECOS Enrollment IDI20160706000973, I20190611001154
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 Wade Jespersen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gila River Health Care
12 mi
Community/Behavioral Health
291 W CASA BLANCA RD
Sacaton, AZ 85147
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1417237074 (520) 562-3356
Integrated Healthcare Mobile Solutions, LLC
17 mi
Family
1840 E BASELINE RD STE A1
Tempe, AZ 85283
  • Reassigned Medicare billing, Arizona enrollment
  • 22 clinicians in this Medicare group
NPI 1255749982 (480) 718-5400
Onesource Senior Healthcare PLLC
31 mi
Podiatrist
16427 N SCOTTSDALE RD STE 410
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Arizona enrollment
  • 21 clinicians in this Medicare group
NPI 1508272188 (888) 495-4489

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 7

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
318 services241 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
179 services147 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
167 services136 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.
60 services29 patients
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 services27 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
34 services34 patients

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.

86.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.35
Promoting Interoperability88
Improvement Activities40
Cost53.95

Other Providers at the Same Location NPPES

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

MR. CORY M KOVAC PA-C
Physician Assistant
19350 E SILVER CREEK LN
QUEEN CREEK, AZ 85142
Maricopa County (480) 718-5400

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 Wade Jespersen's NPI number?

The NPI number for Wade Jespersen is 1174964654. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Where is Wade Jespersen located?

Wade Jespersen practices at 19350 E Silver Creek Ln, Queen Creek, AZ 85142. The listed phone number is (480) 718-5400.

What is Wade Jespersen's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Wade Jespersen enrolled in Medicare?

Yes. Wade Jespersen 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 Wade Jespersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wade Jespersen reassigns Medicare benefits to 3 organizations: Gila River Health Care (Sacaton, AZ), Integrated Healthcare Mobile Solutions, LLC (Tempe, AZ) and Onesource Senior Healthcare PLLC (Scottsdale, AZ). 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 Wade Jespersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wade Jespersen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Wade Jespersen 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.

When was this NPI record last updated?

The NPPES record for Wade Jespersen was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.