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MRS. KOEHLER WALDROP PA-C
NPI 1497333603
Physician Assistant in New Bern, NC

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
92.74/100
CMS Quality Rating
3252 WELLONS BLVD, NEW BERN, NC 28562(252) 637-0368 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2023, Jul 21, 2021, Mar 30, 2021 (3 updates tracked since 2021).

About Mrs. Koehler Waldrop Pa-c NPPES

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

MRS. KOEHLER WALDROP PA-C (NPI 1497333603) is an individual physician assistant in New Bern, North Carolina and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2020).

NPPES Registry Identity

NPI1497333603
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KOEHLER WALDROPCredential: PA-C
Location Address3252 WELLONS BLVDNew Bern, NC 28562-5234
Mailing Address3252 Wellons BlvdNew Bern, NC 28562-5234 · (252) 637-0368 · Fax (910) 938-1118
Phone(252) 637-0368
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2020
Enumeration DateMarch 30, 2021
Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1497333603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
3252 WELLONS BLVD, New Bern, NC 28562
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross and Blue Shield of NC.Insurance ›

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

Mrs. Koehler Waldrop 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 ID3779992276
PECOS Enrollment IDI20210513001908
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.

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.
264 services68 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.
100 services38 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
69 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

92.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality95.69
Promoting Interoperability83
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

COASTAL CAROLINA HEALTH CARE, PA
Psychiatry & Neurology (Psychiatry)
3252 WELLONS BLVD
NEW BERN, NC 28562
Craven County (252) 637-0368
DR. BROOKE ELIZABETH LIVINGSTON DO
Family Medicine
3252 WELLONS BLVD
NEW BERN, NC 28562
Craven County (252) 636-2664
LEANN RUTH DEAL MOORE MD
Family Medicine
3252 WELLONS BLVD
NEW BERN, NC 28562
Craven County (252) 636-2664
DR. KULLY LYNN WOODRUFF M.D.
Internal Medicine
3252 WELLONS BLVD
NEW BERN, NC 28562
Craven County (252) 636-2664
CHRISTOPHER WESTON HARRIS DO
Psychiatry & Neurology (Psychiatry)
3252 WELLONS BLVD
NEW BERN, NC 28562
Craven County (252) 637-0368

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 Koehler Waldrop's NPI number?

The NPI number for Koehler Waldrop is 1497333603. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Koehler Waldrop located?

Koehler Waldrop practices at 3252 Wellons Blvd, New Bern, NC 28562. The listed phone number is (252) 637-0368.

What is Koehler Waldrop's specialty?

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

Is Koehler Waldrop enrolled in Medicare?

Yes. Koehler Waldrop 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.

What insurance does Koehler Waldrop accept?

Health plans from Antidote Health Plan of Arizona, Inc. and Blue Cross and Blue Shield of NC list Koehler Waldrop as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Koehler Waldrop was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.