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MS. KATEY WALDON NP
NPI 1487017901
Nurse Practitioner - Family in Fayetteville, NY

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
96.37/100
CMS Quality Rating
4110 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066(315) 663-0100 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, May 3, 2022, Apr 1, 2016 (3 updates tracked since 2016).

About Ms. Katey Waldon Np NPPES

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

MS. KATEY WALDON NP (NPI 1487017901) is an individual family provider in Fayetteville, New York, licensed in New York (347812) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2021).

NPPES Registry Identity

NPI1487017901
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KATEY WALDONCredential: NP
Location Address4110 MEDICAL CENTER DRFayetteville, NY 13066-6613
Mailing Address4110 Medical Center DrFayetteville, NY 13066-6613 · (315) 663-0100
Phone(315) 663-0100
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2021
Enumeration DateApril 1, 2016
Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ NPI 1487017901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 347812
Also ListedRegistered NurseTaxonomy 163W00000X · License 707400 (NY)
4110 MEDICAL CENTER DR, Fayetteville, NY 13066
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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

Ms. Katey Waldon Np 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 ID6800270513
PECOS Enrollment IDI20220830001950
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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
685 services135 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.
261 services220 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
254 services195 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.
127 services94 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
113 services102 patients
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.
76 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

96.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.74
Improvement Activities40

Reported Quality Measures

Advance Care Plan
79%751 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%77 patients
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 10

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

MRS. JESSICA FAYE BOUCHARD RPA-C
Physician Assistant (Medical)
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
AMIN FAZELI MD
Dermatology
4110 MEDICAL CENTER DR, SUITE 110
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
DR. FAZELI & DR. BROUMAND LLC
Dermatology
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
MELISSA ROE PA
Physician Assistant
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
VADJISTA BROUMAND MD
Internal Medicine
4110 MEDICAL CENTER DR, SUITE 110
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
RACHEL MARIE DAMON RPA-C
Physician Assistant
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
CHRISTINE SHAFFER NP
Nurse Practitioner (Family)
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
MEGHAN L DORAN
Nurse Practitioner (Family)
4110 MEDICAL CENTER DR, SUITE 100
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100

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 Katey Waldon's NPI number?

The NPI number for Katey Waldon is 1487017901. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Katey Waldon located?

Katey Waldon practices at 4110 Medical Center Dr, Fayetteville, NY 13066. The listed phone number is (315) 663-0100.

What is Katey Waldon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katey Waldon enrolled in Medicare?

Yes. Katey Waldon 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.

When was this NPI record last updated?

The NPPES record for Katey Waldon was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.