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JACOB WATTERS
NPI 1609480359
Physician Assistant in Roseburg, OR

Active since September 01, 2020PECOS Enrolled
89.55/100
CMS Quality Rating
2700 NW STEWART PKWY, ROSEBURG, OR 97471(541) 673-0611 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2020, Sep 1, 2020 (2 updates tracked since 2020).

About Jacob Watters NPPES

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

JACOB WATTERS (NPI 1609480359) is an individual physician assistant in Roseburg, Oregon, licensed in Oregon (PA201167) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609480359
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB WATTERS
Location Address2700 NW STEWART PKWYRoseburg, OR 97471-1281
Mailing Address2971 Interstate AveArco, ID 83213-8705 · (801) 367-5004
Phone(541) 673-0611
Sole ProprietorNo
Enumeration DateSeptember 1, 2020
Last NPPES UpdateOctober 1, 20202 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
✔ NPI 1609480359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA201167
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.
2700 NW STEWART PKWY, Roseburg, OR 97471
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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 (PECOS)

Jacob Watters 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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
222 services210 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
84 services81 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients
Application of nonmoveable forearm to hand splint 29125
The application of a non-moveable forearm to hand splint is a procedure where a rigid support is placed on your forearm and hand. This is done to stabilize the area, promote healing, and prevent further injury. It restricts movement, providing rest to the injured part.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

CEP AMERICA-TELEHEALTH, PC
Psychiatry & Neurology (Psychiatry)
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 673-0611
COMMONSPIRIT OREGON
Surgery
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 677-4319
ALEXANDRIA N BACHMEIER RNFA
Registered Nurse
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 677-4845
LOIS FRANCIS-WOLF
Counselor
2700 NW STEWART PKWY, ANNEX A
ROSEBURG, OR 97471
Douglas County (541) 672-5667
MERCY MEDICAL CENTER
General Acute Care Hospital
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 677-4845
SHAHAYLIE HUNTLEY
Community Health Worker
2700 NW STEWART PKWY, ANNEX B
ROSEBURG, OR 97471
Douglas County (541) 440-3532
MS. BEVERLY JEAN SHERWIN RPH
Pharmacist
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 677-2100
MANDY WENGERT RDH
Dental Hygienist
2700 NW STEWART PKWY
ROSEBURG, OR 97471
Douglas County (541) 677-4326

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 Jacob Watters's NPI number?

The NPI number for Jacob Watters is 1609480359. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Jacob Watters located?

Jacob Watters practices at 2700 NW Stewart Pkwy, Roseburg, OR 97471. The listed phone number is (541) 673-0611.

What is Jacob Watters's specialty?

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

Is Jacob Watters enrolled in Medicare?

Yes. Jacob Watters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Watters was last updated on October 1, 2020. 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.