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DR. MAC THEODORE WAYMENT DO
NPI 1609088350
Pediatrics - Pediatric Critical Care Medicine in Folsom, CA

Active since May 04, 2007PECOS Enrolled
1700 PRAIRIE CITY RD, FOLSOM, CA 95630(916) 351-4800(916) 351-4899 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mac Theodore Wayment Do NPPES

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

DR. MAC THEODORE WAYMENT DO (NPI 1609088350) is an individual pediatric critical care medicine provider in Folsom, California, licensed in California (20A9172) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ventura.

NPPES Registry Identity

NPI1609088350
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. MAC THEODORE WAYMENTCredential: DO
Location Address1700 PRAIRIE CITY RDFolsom, CA 95630-9594
Mailing Address3400 Data Dr, Physician Support ServicesRancho Cordova, CA 95670-7956
Phone(916) 351-4800
Fax(916) 351-4899
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
✔ NPI 1609088350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in CA · 20A9172
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 20A 9172 (CA)
1700 PRAIRIE CITY RD, Folsom, CA 95630
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Secondary Practice Location 1

Location 1300 Hillmont AveVentura, CA 93003-1651 · Phone (805) 652-6237

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mac Theodore Wayment Do 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 Reassignments

2

Medicare enrollment records show Mac Wayment reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Ventura
318 mi
Federally Qualified Health Center (FQHC)
845 N 10TH ST STE 3
Santa Paula, CA 93060
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
NPI 1548401409 (805) 525-0215
Pokroy Medical Group Of Nevada, Ltd.
364 mi
Neonatal-Perinatal Medicine
653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144
  • Reassigned Medicare billing, Nevada enrollment
  • 150 clinicians in this Medicare group
NPI 1992809412 (702) 733-0981

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. ROKSANA ALI MD
Family Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Sacramento County (916) 351-4800
JANANI KUMARESAN MD
Hospitalist
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Sacramento County (916) 351-4800
KEITH A. CORL MD
Internal Medicine (Critical Care Medicine)
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Sacramento County (916) 351-4800
NIRMAL SINGH MD
Hospitalist
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Sacramento County (916) 351-4800
NICHOLAS ANDREW SPARR MD
Hospitalist
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Sacramento County (916) 351-4800
DR. GUL IRAM ANWAR M.D.
Family Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Sacramento County (916) 351-4800
DR. AUSTIN SAAVEDRA MD
Family Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Sacramento County (916) 351-4800
AMANDEEP SINGH DHILLON M.D.
Internal Medicine
1700 PRAIRIE CITY RD
FOLSOM, CA 95630
Sacramento County (916) 351-4800

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 Mac Wayment's NPI number?

The NPI number for Mac Wayment is 1609088350. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Mac Wayment located?

Mac Wayment practices at 1700 Prairie City Rd, Folsom, CA 95630. The listed phone number is (916) 351-4800.

What is Mac Wayment's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Mac Wayment enrolled in Medicare?

Yes. Mac Wayment is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mac Wayment's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mac Wayment reassigns Medicare benefits to 2 organizations: County Of Ventura (Santa Paula, CA) and Pokroy Medical Group Of Nevada, Ltd. (Las Vegas, NV). 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 Mac Wayment'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 Mac Wayment was last updated on November 10, 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.