JACOB ANDREW WALTERS PA-C
NPI 1245579200
Physician Assistant in Ozark, MO

Active since February 11, 2013PECOS EnrolledAccepts Medicare Assignment
3050 E RIVER BLUFF BLVD, OZARK, MO 65721(417) 885-3000(717) 737-7197 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2021, Aug 6, 2019 (2 updates tracked since 2019).

About Jacob Andrew Walters Pa-c NPPES

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

JACOB ANDREW WALTERS PA-C (NPI 1245579200) is an individual physician assistant in Ozark, Missouri, licensed in Missouri (2021024722) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Drexel University College Of Medicine (2012).

NPPES Registry Identity

NPI1245579200
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB ANDREW WALTERSCredential: PA-C
Location Address3050 E RIVER BLUFF BLVDOzark, MO 65721-8807
Mailing Address3050 E River Bluff BlvdOzark, MO 65721-8807 · (417) 885-3000 · Fax (717) 737-7197
Fax(717) 737-7197
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2012
Enumeration DateFebruary 11, 2013
Last NPPES UpdateAugust 18, 20212 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
NPI 1245579200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MO · 2021024722 Licensed in PA · MA055982
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 MA055982 (PA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA055982 (PA)
3050 E RIVER BLUFF BLVD, Ozark, MO 65721

Accepted 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

Jacob Andrew Walters 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 ID3274770912
PECOS Enrollment IDI20210722001506
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
316 services48 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.
148 services119 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
80 services74 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
78 services59 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
49 services46 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
47 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65721 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
57%479 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
84%551 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
3050 E RIVER BLUFF BLVD
OZARK, MO 65721
Physician Assistant
3050 E RIVER BLUFF BLVD
OZARK, MO 65721
Physician Assistant
3050 E RIVER BLUFF BLVD
OZARK, MO 65721
Durable Medical Equipment & Medical Supplies
3050 E RIVER BLUFF BLVD
OZARK, MO 65721
Nurse Practitioner (Adult Health)
3050 E RIVER BLUFF BLVD
OZARK, MO 65721
Orthopaedic Surgery
3050 E RIVER BLUFF BLVD
OZARK, MO 65721
Orthopaedic Surgery
3050 E RIVER BLUFF BLVD
OZARK, MO 65721
Physician Assistant
3050 E RIVER BLUFF BLVD
OZARK, MO 65721

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 Jacob Walters's NPI number?

The NPI number for Jacob Walters is 1245579200. It was assigned to this individual provider in the NPPES registry on February 11, 2013.

Where is Jacob Walters located?

Jacob Walters practices at 3050 E River Bluff Blvd, Ozark, MO 65721. The listed phone number is (417) 885-3000.

What is Jacob Walters's specialty?

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

Is Jacob Walters enrolled in Medicare?

Yes. Jacob Walters 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 Jacob Walters accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Jacob Walters 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 Jacob Walters affiliated with any hospitals?

According to CMS data, Jacob Walters is affiliated with Mercy Hospital Lebanon and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Jacob Walters was last updated on August 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.