AMMON WADDELL PA-C
NPI 1780114348
Physician Assistant in Summerville, SC

Q: What is Ammon Waddell's NPI number?

The NPI number for Ammon Waddell is 1780114348. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Q: What is Ammon Waddell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ammon Waddell was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment

95.7/100

CMS Quality Rating

602 N MAIN ST, SUMMERVILLE, SC 29483(843) 881-4440(843) 225-0110 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Nov 12, 2024, Feb 6, 2024 and 3 more (6 updates tracked since 2017).

On this page

About Ammon Waddell Pa-c NPPES

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

AMMON WADDELL PA-C (NPI 1780114348) is an individual physician assistant in Summerville, South Carolina, licensed in South Carolina (4778) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780114348

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameAMMON WADDELLCredential: PA-C

Location Address602 N MAIN STSummerville, SC 29483-6627

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439

Phone(843) 881-4440

Fax(843) 225-0110

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 15, 2017

Last NPPES UpdateNovember 20, 20246 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1780114348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in SC · 4778✔ Licensed in UT · 10420324-1206

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.

602 N MAIN ST, Summerville, SC 29483

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Secondary Practice Locations 3

Location 11814 CROWNE COMMONS WAYJOHNS ISLAND, SC 29455-4932 · Phone (843) 881-4440 · Fax (843) 737-5288

Location 2612 Seacoast PkwyMt Pleasant, SC 29464-8247 · Phone (843) 881-4440 · Fax (843) 884-8540

Location 314490 Ocean HwyPawleys Island, SC 29585-4821 · Phone (843) 881-4440 · Fax (843) 314-0785

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.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

Ammon Waddell 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 ID5597185660

PECOS Enrollment IDI20240410001103

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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

383 services82 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

139 services116 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.

136 services125 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

127 services109 patients

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.

113 services92 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

104 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29483 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

95.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.19

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 9

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

MRS. JILL M PETERSON M.D.

Family Medicine