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JOHN M WALDRON PA
NPI 1437584380
Physician Assistant in Johnson City, TN

Active since September 11, 2013PECOS EnrolledAccepts Medicare Assignment
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615(423) 282-1480(423) 928-1353 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About John M Waldron Pa NPPES

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

JOHN M WALDRON PA (NPI 1437584380) is an individual physician assistant in Johnson City, Tennessee, licensed in Tennessee (PA) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1437584380
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN M WALDRONCredential: PA
Location Address119 BOONE RIDGE DR, SUITE 201Johnson City, TN 37615-4998
Mailing Address119 Boone Ridge Dr, Suite 201Johnson City, TN 37615-4998 · (423) 282-1480 · Fax (423) 928-1353
Phone(423) 282-1480
Fax(423) 928-1353
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 11, 2013
✔ NPI 1437584380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · PA
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.
119 BOONE RIDGE DR, Johnson City, TN 37615
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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

John M Waldron Pa 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 ID9638305105
PECOS Enrollment IDI20131112001351
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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
202 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
191 services118 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
75 services74 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services22 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%332 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$19.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$105.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMBER RAMSEY FNP-BC
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
MRS. CARLEEN MARIE OGLE FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
DR. CLAUDIA CORINA COX MD
Internal Medicine
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
CLAIRE D PARIS M.D.
Hospitalist
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
DR. MICHAEL ALLEN KEITH O.D.
Optometrist
119 BOONE RIDGE DR, SUITE 101
JOHNSON CITY, TN 37615
Washington County (423) 283-7300
AMY HAMILTON FNP-C
Nurse Practitioner (Family)
119 BOONE RIDGE DR, STE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
COURTNEY D CONKIN FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
LINDSEY TOWNSEND ELSWICK FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480

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 John Waldron's NPI number?

The NPI number for John Waldron is 1437584380. It was assigned to this individual provider in the NPPES registry on September 11, 2013.

Where is John Waldron located?

John Waldron practices at 119 Boone Ridge Dr Suite 201, Johnson City, TN 37615. The listed phone number is (423) 282-1480.

What is John Waldron's specialty?

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

Is John Waldron enrolled in Medicare?

Yes. John Waldron 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.

Is John Waldron affiliated with any hospitals?

According to CMS data, John Waldron is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for John Waldron was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.