WAYNE LEE GARRETT DO
NPI 1528111598
Pathology - Clinical Pathology in Hercules, CA

Active since January 20, 2007PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
712 ALFRED NOBEL DR, HERCULES, CA 94547(510) 662-5200(510) 662-5240 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wayne Lee Garrett Do NPPES

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

WAYNE LEE GARRETT DO (NPI 1528111598) is an individual clinical pathology provider in Hercules, California, licensed in Pennsylvania (OS008397L) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1528111598
Entity TypeIndividualMale
Primary Taxonomy207ZC0006X
Provider Legal NameWAYNE LEE GARRETTCredential: DO
Location Address712 ALFRED NOBEL DRHercules, CA 94547-1805
Mailing Address96 Museum WaySan Francisco, CA 94114-1428 · (510) 662-5200 · Fax (510) 662-5240
Fax(510) 662-5240
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateJanuary 20, 2007
Last NPPES UpdateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1528111598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZC0006X
License✔ Licensed in PA · OS008397L
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License 20A5450 (CA)
712 ALFRED NOBEL DR, Hercules, CA 94547

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wayne Lee Garrett Do 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 ID345472809
PECOS Enrollment IDI20160113002917
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 Reassignments

8

Medicare enrollment records show Wayne Garrett reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
726 4TH ST
Marysville, CA 95901
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
9330 STOCKDALE HWY STE 500
Bakersfield, CA 93311
  • Reassigned Medicare billing, California enrollment
  • 532 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
3600 NW SAMARITAN DR
Corvallis, OR 97330
  • Reassigned Medicare billing, Oregon enrollment
  • 6 clinicians in this Medicare group
General Practice
1700 E 19TH ST
The Dalles, OR 97058
  • Reassigned Medicare billing, Oregon enrollment
  • 195 clinicians in this Medicare group
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 39 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
Internal Medicine
600 CELEBRATE LIFE PARKWAY
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 448 clinicians in this Medicare group
Sports Medicine
1350 BROADCASTING RD STE 201
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group

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

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
68 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94547 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

Clinical Medical Laboratory
712 ALFRED NOBEL DR
HERCULES, CA 94547
Specialist
712 ALFRED NOBEL DR
HERCULES, CA 94547
Clinical Medical Laboratory
712 ALFRED NOBEL DR
HERCULES, CA 94547
Pathology (Clinical Pathology)
712 ALFRED NOBEL DR
HERCULES, CA 94547
Clinical Medical Laboratory
712 ALFRED NOBEL DR
HERCULES, CA 94547

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 Wayne Garrett's NPI number?

The NPI number for Wayne Garrett is 1528111598. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Where is Wayne Garrett located?

Wayne Garrett practices at 712 Alfred Nobel Dr, Hercules, CA 94547. The listed phone number is (510) 662-5200.

What is Wayne Garrett's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.

Is Wayne Garrett enrolled in Medicare?

Yes. Wayne Garrett 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.

Which organizations bill Medicare for Wayne Garrett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Garrett reassigns Medicare benefits to 8 organizations: Rideout Memorial Hospital (Marysville, CA), Kern County Hospital Authority (Bakersfield, CA), Valley Pathology Services PC (Corvallis, OR), Mid-Columbia Medical Center (The Dalles, OR), Ssm Health Care Group (Saint Louis, MO) and 3 more organizations, listed in the Medicare section above. Each 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 Wayne Garrett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wayne Garrett accept?

Health plans from Moda Health Plan, Inc. list Wayne Garrett 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 Wayne Garrett was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.