JERED WAGGONER PA-C
NPI 1467078865
Physician Assistant in Lexington, KY

Active since June 22, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
UK SURGERY CLINIC - CARDIOTHORACIC, 740 S LIMESTONE STE L304, LEXINGTON, KY 40536(859) 323-6494 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2021, Jun 22, 2020 (2 updates tracked since 2020).

About Jered Waggoner Pa-c NPPES

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

JERED WAGGONER PA-C (NPI 1467078865) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (TC030) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Nicholasville.

NPPES Registry Identity

NPI1467078865
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJERED WAGGONERCredential: PA-C
Location AddressUK SURGERY CLINIC - CARDIOTHORACIC, 740 S LIMESTONE STE L304Lexington, KY 40536
Mailing Address740 S Limestone Third Floor Room L300Lexington, KY 40536-0001 · (859) 323-6494
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 22, 2020
Last NPPES UpdateMay 31, 20222 updates tracked since enumeration
NPPES CertifiedMay 31, 2022
NPI 1467078865 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
License Licensed in KY · TC030
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 TC030 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License TC030 (KY)
UK SURGERY CLINIC - CARDIOTHORACIC, Lexington, KY 40536

Secondary Practice Location 1

Location 1261 Applegrove DrNicholasville, KY 40356-2328 · Phone (859) 489-2661

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

Jered Waggoner 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 ID6103233556
PECOS Enrollment IDI20210331000952
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 2

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.
31 services21 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.
19 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
UK SURGERY CLINIC - CARDIOTHORACIC, 740 S LIMESTONE STE L304
LEXINGTON, KY 40536

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 Jered Waggoner's NPI number?

The NPI number for Jered Waggoner is 1467078865. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Jered Waggoner located?

Jered Waggoner practices at Uk Surgery Clinic - Cardiothoracic 740 S Limestone Ste L304, Lexington, KY 40536. The listed phone number is (859) 323-6494.

What is Jered Waggoner's specialty?

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

Is Jered Waggoner enrolled in Medicare?

Yes. Jered Waggoner 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 Jered Waggoner affiliated with any hospitals?

According to CMS data, Jered Waggoner is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Jered Waggoner was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.