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RACHEL LEAH WALDRON MD
NPI 1861415028
Emergency Medicine in Flushing, NY

Active since July 26, 2006PECOS Enrolled
75/100
CMS Quality Rating
56-45 MAIN STREET, NY HOSPITAL MEDICAL CENTER OF QUEENS EMERGENCY DEPT, FLUSHING, NY 11355(718) 670-1231(610) 617-6280 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rachel Leah Waldron Md NPPES

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

RACHEL LEAH WALDRON MD (NPI 1861415028) is an individual emergency medicine provider in Flushing, New York, licensed in New York (209970) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861415028
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameRACHEL LEAH WALDRONCredential: MD
Location Address56-45 MAIN STREET, NY HOSPITAL MEDICAL CENTER OF QUEENS EMERGENCY DEPTFlushing, NY 11355
Mailing AddressPo Box 430, Emergency Practice PlanFlushing, NY 11352 · (610) 668-6491 · Fax (610) 617-6280
Phone(718) 670-1231
Fax(610) 617-6280
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861415028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 209970
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
56-45 MAIN STREET, Flushing, NY 11355
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Other Identifiers 3

Medicare ID-Type Unspecified6383TXNY
Medicaid02102243NY
Medicare UPING62704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Leah Waldron Md 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 Reassignment

Medicare enrollment records show Rachel Waldron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Emergency Associates
715 mi
Emergency Medicine
5629 HWY. 21 SOUTH
Rincon, GA 31326
  • Reassigned Medicare billing, Georgia enrollment
  • 53 clinicians in this Medicare group
NPI 1528098290 (912) 295-2133

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 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 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.
452 services439 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
330 services316 patients
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.
134 services132 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
77 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

DANIELLE GELB MS, CGC
Genetic Counselor, MS
56-45 MAIN STREET, NEW YORK PRESBYTERIAN/QUEENS
FLUSHING, NY 11355
Queens County (718) 661-7042
MS. GURLIN KAUR-SINGH PA-C
Physician Assistant
56-45 MAIN STREET, NEW YORK HOSPITAL QUEENS
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. JAMIE ALISON EDELSTEIN M.D.
Emergency Medicine
56-45 MAIN STREET
FLUSHING, NY 11355
Queens County (718) 670-1100
BRENDA LEE-HAO LIU MD
Emergency Medicine
56-45 MAIN STREET, NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - EMERGENCY
FLUSHING, NY 11355
Queens County (718) 670-1231
DAVID BARLAS MD
Emergency Medicine
56-45 MAIN STREET, NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - EMERGENCY
FLUSHING, NY 11355
Queens County (718) 670-1231
MITCHELL MELIKHOV-SOSIN MD
Emergency Medicine
56-45 MAIN STREET
FLUSHING, NY 11355
Queens County (718) 661-7305
CHRISTINE MATHEW MD
Student in an Organized Health Care Education/Training Program
56-45 MAIN STREET
FLUSHING, NY 11355
Queens County (718) 670-1347
DR. GALAL ASHRAF ELSAYED MD
Neurological Surgery
56-45 MAIN STREET, DEPARTMENT OF NEUROSURGERY
FLUSHING, NY 11355
Queens County (718) 670-0002

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 Rachel Waldron's NPI number?

The NPI number for Rachel Waldron is 1861415028. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Rachel Waldron located?

Rachel Waldron practices at 56-45 Main Street Ny Hospital Medical Center Of Queens Emergency Dept, Flushing, NY 11355. The listed phone number is (718) 670-1231.

What is Rachel Waldron's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Rachel Waldron enrolled in Medicare?

Yes. Rachel Waldron is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachel Waldron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Waldron reassigns Medicare benefits to Georgia Emergency Associates (Rincon, GA). The 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 Rachel Waldron'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 Rachel Waldron was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.