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LAURA WAIALAE PA
NPI 1760968713
Physician Assistant in Wheeling, WV

Active since July 12, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
10 MEDICAL PARK, SUITE 101, WHEELING, WV 26003(304) 243-3889(304) 243-8802 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2020, Jul 12, 2018 (2 updates tracked since 2018).

About Laura Waialae Pa NPPES

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

LAURA WAIALAE PA (NPI 1760968713) is an individual physician assistant in Wheeling, West Virginia, licensed in West Virginia (2199) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Wheeling Hospital, Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1760968713
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA WAIALAECredential: PA
Location Address10 MEDICAL PARK, SUITE 101Wheeling, WV 26003
Mailing Address10 Medical Park, Suite 101Wheeling, WV 26003 · (304) 243-3889 · Fax (304) 243-8802
Phone(304) 243-3889
Fax(304) 243-8802
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 12, 2018
Last NPPES UpdateJune 3, 20202 updates tracked since enumeration
NPPES CertifiedJune 3, 2020
✔ NPI 1760968713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WV · 2199
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
10 MEDICAL PARK, Wheeling, WV 26003
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Other Identifiers 1

Medicaid0313358OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Laura Waialae Pa 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 ID6901140524
PECOS Enrollment IDI20181207000815
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services17 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

DR. DEEPAK HOODA M.D.
Internal Medicine (Interventional Cardiology)
10 MEDICAL PARK, SUITE 104
WHEELING, WV 26003
Ohio County (304) 242-4800
ROBERT E JONES MD INC.
Surgery
10 MEDICAL PARK, SUITE 108
WHEELING, WV 26003
Ohio County (304) 242-7797
JILLIAN MARI LASLO MSPAS, PA-C
Physician Assistant
10 MEDICAL PARK, SUITE 104
WHEELING, WV 26003
Ohio County (304) 242-4800
MRS. BRENNA NICOLE YOUNG PA-C
Physician Assistant
10 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-8669
ZALESKI ORTHOPEDICS INC
Orthopaedic Surgery
10 MEDICAL PARK, SUITE 203
WHEELING, WV 26003
Ohio County (304) 242-9460
HENRY DAVID MILLIT MD
Internal Medicine (Cardiovascular Disease)
10 MEDICAL PARK, SUITE 104
WHEELING, WV 26003
Ohio County (304) 242-4800
ABIGAIL MARIA SMITH PA-C
Physician Assistant
10 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-6534
BRENDA LYNN ADAMOVICH D.O.
Psychiatry & Neurology (Neurology)
10 MEDICAL PARK, SUITE 301
WHEELING, WV 26003
Ohio County (304) 234-5143

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 Laura Waialae's NPI number?

The NPI number for Laura Waialae is 1760968713. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Laura Waialae located?

Laura Waialae practices at 10 Medical Park Suite 101, Wheeling, WV 26003. The listed phone number is (304) 243-3889.

What is Laura Waialae's specialty?

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

Is Laura Waialae enrolled in Medicare?

Yes. Laura Waialae 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 Laura Waialae accept?

Health plans from CareSource and Molina Healthcare list Laura Waialae 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.

Is Laura Waialae affiliated with any hospitals?

According to CMS data, Laura Waialae is affiliated with Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Laura Waialae was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.