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DR. KATHLEEN M. WALDRON
NPI 1447274659
Family Medicine in Okemos, MI

Active since July 27, 2006PECOS Enrolled
1600 W GRAND RIVER AVE, SUITE 4, OKEMOS, MI 48864(517) 381-6880(517) 638-1688 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kathleen M. Waldron NPPES

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

DR. KATHLEEN M. WALDRON (NPI 1447274659) is an individual family medicine provider in Okemos, Michigan, licensed in Michigan (5101015858) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447274659
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHLEEN M. WALDRON
Location Address1600 W GRAND RIVER AVE, SUITE 4Okemos, MI 48864-2394
Mailing AddressPo Box 13008Lansing, MI 48901-3008 · (517) 364-6253 · Fax (517) 364-6204
Phone(517) 381-6880
Fax(517) 638-1688
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateDecember 31, 2007
✔ NPI 1447274659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101015858
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1600 W GRAND RIVER AVE, Okemos, MI 48864
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Other Identifiers 2

Medicare ID-Type UnspecifiedPO1430004MI
Medicare UPINI39400MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen M. Waldron 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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Waldron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edward W. Sparrow Hospital Association
Same address
Family Medicine
1600 W GRAND RIVER AVE, SUITE 4
Okemos, MI 48864
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
NPI 1437102357 (517) 381-6880

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services34 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.
14 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48864 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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…
26%188 patients1/55-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…
92%224 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 8

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

DR. ANGELA C GRIFFIN MD
Obstetrics & Gynecology (Gynecology)
1600 W GRAND RIVER AVE, SUITE 1
OKEMOS, MI 48864
Ingham County (517) 381-6870
DR. TERRI KAY MEUNIER DO
Family Medicine
1600 W GRAND RIVER AVE
OKEMOS, MI 48864
Ingham County (517) 381-6880
MICHIGAN STATE UNIVERSITY
Pediatrics
1600 W GRAND RIVER AVE, STE 2
OKEMOS, MI 48864
Ingham County (517) 349-6560
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Family Medicine
1600 W GRAND RIVER AVE, SUITE 4
OKEMOS, MI 48864
Ingham County (517) 381-6880
DR. HIRAM STEPHEN WILLIAMS M.D.
Pediatrics
1600 W GRAND RIVER AVE
OKEMOS, MI 48864
Ingham County (517) 349-6560
DR. GERARD MARTIN BREITZER D.O.
Pediatrics
1600 W GRAND RIVER AVE, STE 2
OKEMOS, MI 48864
Ingham County (517) 349-6560
DR. JAN Q WU MD
Family Medicine
1600 W GRAND RIVER AVE, SUITE 4
OKEMOS, MI 48864
Ingham County (517) 381-6880
DR. KENNETH D STRINGER D.O.
Pediatrics
1600 W GRAND RIVER AVE, SUITE 2
OKEMOS, MI 48864
Ingham County (517) 349-6560

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 Kathleen Waldron's NPI number?

The NPI number for Kathleen Waldron is 1447274659. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Kathleen Waldron located?

Kathleen Waldron practices at 1600 W Grand River Ave Suite 4, Okemos, MI 48864. The listed phone number is (517) 381-6880.

What is Kathleen Waldron's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathleen Waldron enrolled in Medicare?

Yes. Kathleen Waldron is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Waldron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Waldron reassigns Medicare benefits to Edward W. Sparrow Hospital Association (Okemos, MI). The 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 Kathleen Waldron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Waldron was last updated on December 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.