JON P. WAKAMATSU M.D.
NPI 1871609008
Family Medicine in Phoenix, AZ

Q: What is Jon Wakamatsu's NPI number?

The NPI number for Jon Wakamatsu is 1871609008. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Jon Wakamatsu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Wakamatsu was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 21, 2006PECOS Enrolled

1441 N 12TH ST, PHOENIX, AZ 85006(602) 747-4577 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jon P. Wakamatsu M.d. NPPES

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

JON P. WAKAMATSU M.D. (NPI 1871609008) is an individual family medicine provider in Phoenix, Arizona, licensed in Wyoming (5418A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871609008

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJON P. WAKAMATSUCredential: M.D.

Location Address1441 N 12TH STPhoenix, AZ 85006-2837

Mailing Address625 Albany AveTorrington, WY 82240-1530 · (307) 532-2017

Phone(602) 747-4577

Sole ProprietorNo

Enumeration DateAugust 21, 2006

Last NPPES UpdateJune 15, 2009

✔ NPI 1871609008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WY · 5418A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1441 N 12TH ST, Phoenix, AZ 85006

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Other Identifiers 3

Medicare UPINE60629

Medicare PINW22573WY

Medicare PINW22572WY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon P. Wakamatsu M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

LINDSEY RENTERIA NP

Nurse Practitioner