DR. PRISCILLA WALDHEGER M.D.
NPI 1285682021
Pathology - Anatomic Pathology & Clinical Pathology in Elyria, OH

Q: What is Priscilla Waldheger's NPI number?

The NPI number for Priscilla Waldheger is 1285682021. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Priscilla Waldheger's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment

87.25/100

CMS Quality Rating

630 E RIVER ST, ELYRIA, OH 44035(440) 329-7656 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Priscilla Waldheger M.d. NPPES

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

DR. PRISCILLA WALDHEGER M.D. (NPI 1285682021) is an individual anatomic pathology & clinical pathology provider in Elyria, Ohio, licensed in Ohio (35063273) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (1987).

NPPES Registry Identity

NPI1285682021

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. PRISCILLA WALDHEGERCredential: M.D.

Location Address630 E RIVER STElyria, OH 44035-5902

Mailing Address630 E River StElyria, OH 44035-5902 · (440) 329-7656

Phone(440) 329-7656

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1987

Enumeration DateMay 4, 2006

Last NPPES UpdateOctober 15, 2008

✔ NPI 1285682021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in OH · 35063273

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

630 E RIVER ST, Elyria, OH 44035

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Other Identifiers 6

Medicare ID-Type UnspecifiedHE0718812OH · Wooster

Medicaid0883825OH

Medicare UPINF30450OH

Medicare ID-Type UnspecifiedHE0718813OH · Samaritan

Medicare ID-Type UnspecifiedHE0718811OH · Emh

Medicare ID-Type UnspecifiedHE0718815OH · Amherst

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. Priscilla Waldheger 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 ID5294621231

PECOS Enrollment IDI20040226000609

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

175 services97 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

65 services19 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

51 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 Regional Medical Center

Acute Care Hospitals · Lorain, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360172

Location3700 Kolbe RoadLorain, OH 44053 · Lorain County

Emergency services Birthing friendly

Mercy Allen Hospital

Critical Access Hospitals · Oberlin, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361306

Location200 West Lorain StreetOberlin, OH 44074 · Lorain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

87.25/100

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

Scored as part of a group practice

Quality

74.5

Improvement Activities

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.

JESSICA ANNE YAGER

Nurse Anesthetist, Certified Registered