JOHN P WALDO MD
NPI 1861499832
Specialist in Winfield, AL

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
1530 US HIGHWAY 43, WINFIELD, AL 35594(205) 870-0123 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John P Waldo Md NPPES

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

JOHN P WALDO MD (NPI 1861499832) is an individual specialist in Winfield, Alabama, licensed in Alabama (19892) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1992).

NPPES Registry Identity

NPI1861499832
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOHN P WALDOCredential: MD
Location Address1530 US HIGHWAY 43Winfield, AL 35594-5056
Mailing Address2000a Southbridge Pkwy, Ste 300Birmingham, AL 35209-7718 · (205) 871-4274 · Fax (205) 871-4301
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1992
Enumeration DateJuly 5, 2005
Last NPPES UpdateSeptember 16, 2015
NPI 1861499832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AL · 19892
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1530 US HIGHWAY 43, Winfield, AL 35594

Other Identifiers 8

Medicaid115382AL
Medicare PIN051551925AL
Other511-01854AL · Blue Cross
OtherP00050723AL · Rrmc
Other515-10170AL · Blue Cross
Other631247115AL · Aetna
Medicare UPING28552
Medicaid051551925AL

Accepted 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

John P Waldo Md 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 ID1355319872
PECOS Enrollment IDI20040922000970, I20141118001852
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 38

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
690 services550 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
171 services164 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
153 services147 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
124 services123 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
121 services116 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
92 services92 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Southeastern Ohio Regional Medical Center

Acute Care Hospitals · Cambridge, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360203
Location1341 North Clark StreetCambridge, OH 43725 · Guernsey County
Emergency services Birthing friendly

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

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.

Reported Quality Measures

Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
95%63 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine (Emergency Medical Services)
1530 US HIGHWAY 43
WINFIELD, AL 35594
Internal Medicine
1530 US HIGHWAY 43
WINFIELD, AL 35594
Nurse Practitioner (Family)
1530 US HIGHWAY 43
WINFIELD, AL 35594
Anesthesiology
1530 US HIGHWAY 43
WINFIELD, AL 35594
General Acute Care Hospital
1530 US HIGHWAY 43
WINFIELD, AL 35594
Medicare Defined Swing Bed Unit
1530 US HIGHWAY 43
WINFIELD, AL 35594
Emergency Medicine
1530 US HIGHWAY 43
WINFIELD, AL 35594
Anesthesiology
1530 US HIGHWAY 43
WINFIELD, AL 35594

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 John Waldo's NPI number?

The NPI number for John Waldo is 1861499832. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is John Waldo located?

John Waldo practices at 1530 Us Highway 43, Winfield, AL 35594. The listed phone number is (205) 870-0123.

What is John Waldo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Waldo enrolled in Medicare?

Yes. John Waldo 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 John Waldo accept?

Health plans from CareSource and Oscar Insurance Company list John Waldo 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 John Waldo affiliated with any hospitals?

According to CMS data, John Waldo is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Mercy Regional Medical Center, Southeastern Ohio Regional Medical Center and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for John Waldo was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.