Active NPI 1821042698 Individual Practitioner Male Practitioner

Jayson Eric Gesme

Surgery • Waterloo, IA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jayson Gesme is a certified Surgery practicing in Waterloo, IA. With approximately 26 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 2000, Jayson Gesme delivers high-quality medical care to the local community at 1753 W RIDGEWAY AVE.

Jayson Gesme maintains professional affiliations with Waverly Health Center, Cedar Valley Medical Specialists Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, limited ultrasound scan of 1 breast, limited ultrasound scan of joint or other extremity structure except blood vessels. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1753 W Ridgeway Ave
Ste 107

Waterloo, IA 507014588

Telephone 3198335907

Fax 3198335908

Associated Practice Facility / Clinic

🏢 Cedar Valley Medical Specialists Pc Facility NPI 1073567780

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Waterloo, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +7.1 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

18 Specialists

Practicing in Waterloo, IA (452 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gesme (26 Years) 26 Yrs

Waterloo Specialty Average (18.9 Years) 18.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	535	402	$255.00	$118.12
76642 Limited ultrasound scan of 1 breast	334	241	$266.47	$80.98
99213 Established patient office or other outpatient visit, typically 15 minutes	164	122	$170.00	$83.87
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	143	102	$134.16	$58.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	63	$360.00	$160.50
10005 Fine needle aspiration of first lesion using ultrasound guidance	55	48	$332.00	$121.80
76098 X-ray of surgical specimen	46	45	$58.00	$13.98
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	45	45	$1302.47	$221.86
38900 Lymph node imaging during surgery	44	44	$489.23	$128.29
75801 Radiological supervision and interpretation of imaging of lymphatic system of one arm or leg	44	44	$125.00	$37.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$405.00	$153.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$520.00	$199.02
19301 Partial removal of breast	29	26	$1577.59	$418.19
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	26	26	$680.00	$44.52
19316 Enlargement of breast	25	24	$2203.20	$680.82
99442 Telephone medical discussion with physician, 11-20 minutes	23	22	$111.52	$82.07
19120 Removal of 1 or more breast growth, open procedure	22	22	$1268.18	$261.50
19303 Total removal of breast	19	19	$3485.74	$1161.10
76998 Ultrasonic guidance during surgery	15	14	$176.00	$41.30
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	13	13	$680.00	$51.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	544	422	$249.38	$117.56
76642 Limited ultrasound scan of 1 breast	365	282	$262.05	$82.21
99213 Established patient office or other outpatient visit, typically 15 minutes	189	153	$163.71	$83.95
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	164	134	$135.00	$39.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	67	$354.04	$166.46
10005 Fine needle aspiration of first lesion using ultrasound guidance	60	54	$332.00	$121.65
75801 Radiological supervision and interpretation of imaging of lymphatic system of one arm or leg	47	47	$125.00	$38.49
76098 X-ray of surgical specimen	47	47	$58.00	$14.27
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	46	46	$1247.57	$202.25
38900 Lymph node imaging during surgery	45	45	$468.18	$124.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$395.00	$154.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$513.70	$203.50
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	38	38	$680.00	$45.75
19301 Partial removal of breast	36	34	$1495.00	$370.08
19316 Enlargement of breast	29	28	$2160.00	$719.87
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$90.00	$83.66
19303 Total removal of breast	14	14	$3730.00	$1225.56
19120 Removal of 1 or more breast growth, open procedure	13	13	$1287.69	$260.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	509	392	$158.00	$84.64
76642 Limited ultrasound scan of 1 breast	420	307	$262.40	$82.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	221	$240.00	$119.59
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	138	115	$135.00	$52.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	75	$343.00	$164.69
10005 Fine needle aspiration of first lesion using ultrasound guidance	75	57	$332.00	$126.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$385.00	$156.56
76098 X-ray of surgical specimen	49	48	$58.00	$14.66
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	48	48	$1271.92	$218.43
38900 Lymph node imaging during surgery	47	47	$472.62	$128.95
75801 Radiological supervision and interpretation of imaging of lymphatic system of one arm or leg	46	46	$125.00	$39.33
19301 Partial removal of breast	34	33	$1491.62	$408.43
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	34	33	$680.00	$46.84
19316 Enlargement of breast	25	24	$2246.40	$749.97
19120 Removal of 1 or more breast growth, open procedure	24	23	$1265.83	$259.02
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	23	22	$1849.00	$488.50
19303 Total removal of breast	17	17	$3146.53	$1082.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$270.00	$100.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$492.00	$195.87
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	12	12	$680.00	$46.72
76998 Ultrasonic guidance during surgery	12	12	$176.00	$56.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76642 Limited ultrasound scan of 1 breast	454	328	$262.88	$87.22
99213 Established patient office or other outpatient visit, typically 15 minutes	430	340	$158.00	$86.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	380	301	$240.00	$122.06
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	152	126	$135.00	$52.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	115	88	$343.00	$171.71
10005 Fine needle aspiration of first lesion using ultrasound guidance	87	78	$332.00	$121.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$270.00	$104.88
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	56	51	$1849.00	$539.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$385.00	$156.26
76098 X-ray of surgical specimen	43	43	$58.00	$14.91
38900 Lymph node imaging during surgery	42	42	$458.00	$124.80
75801 Radiological supervision and interpretation of imaging of lymphatic system of one arm or leg	41	41	$125.00	$40.36
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	40	40	$1236.28	$215.68
19301 Partial removal of breast	34	31	$1470.00	$385.10
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	28	28	$680.00	$47.48
76998 Ultrasonic guidance during surgery	26	26	$176.00	$57.65
19316 Enlargement of breast	25	23	$2160.00	$736.49
19081 Biopsy of breast accessed through the skin with stereotactic guidance	19	19	$1860.00	$153.06
19120 Removal of 1 or more breast growth, open procedure	15	15	$1240.00	$307.82
19303 Total removal of breast	14	14	$3184.00	$1009.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	384	$240.00	$102.56
76642 Limited ultrasound scan of 1 breast	420	321	$263.24	$86.70
99213 Established patient office or other outpatient visit, typically 15 minutes	393	301	$158.00	$70.66
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	121	108	$127.19	$53.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$270.00	$100.70
10005 Fine needle aspiration of first lesion using ultrasound guidance	78	74	$332.00	$116.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	42	$343.00	$138.84
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	49	47	$1849.00	$562.51
76998 Ultrasonic guidance during surgery	33	31	$176.00	$58.89
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	32	32	$1297.38	$242.52
75801 Radiological supervision and interpretation of imaging of lymphatic system of one arm or leg	30	30	$125.00	$40.82
38900 Lymph node imaging during surgery	29	29	$473.79	$133.54
76098 X-ray of surgical specimen	28	26	$58.00	$15.33
19301 Partial removal of breast	27	26	$1524.44	$405.54
19081 Biopsy of breast accessed through the skin with stereotactic guidance	25	23	$1860.00	$159.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$106.00	$42.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$385.00	$155.66
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	22	22	$680.00	$49.14
19316 Enlargement of breast	20	20	$2160.00	$672.80
19303 Total removal of breast	16	16	$3024.75	$1012.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	438	342	$235.10	$101.45
99213 Established patient office or other outpatient visit, typically 15 minutes	386	318	$154.29	$69.01
76642 Limited ultrasound scan of 1 breast	313	243	$259.45	$82.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$263.33	$98.52
10005 Fine needle aspiration of first lesion using ultrasound guidance	72	70	$332.00	$106.39
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	58	55	$1849.00	$572.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	51	$103.91	$40.80
75801 Radiological supervision and interpretation of imaging of lymphatic system of one arm or leg	48	48	$125.00	$41.12
38900 Lymph node imaging during surgery	47	47	$458.00	$125.60
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	47	47	$1221.00	$213.57
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	45	40	$90.00	$52.42
76098 X-ray of surgical specimen	34	34	$58.00	$7.64
19301 Partial removal of breast	30	28	$1470.00	$349.43
19316 Enlargement of breast	28	28	$2160.00	$651.46
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	19	19	$680.00	$48.55
19081 Biopsy of breast accessed through the skin with stereotactic guidance	18	17	$1860.00	$156.35
19303 Total removal of breast	18	18	$2900.89	$979.66
76998 Ultrasonic guidance during surgery	17	17	$176.00	$58.40
19120 Removal of 1 or more breast growth, open procedure	13	13	$1287.69	$364.66
19285 Placement of locating device in breast using ultrasound guidance, first growth	11	11	$1299.00	$41.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	590	433	$150.00	$68.07
76642 Limited ultrasound scan of 1 breast	308	243	$260.60	$85.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$257.00	$100.31
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	76	65	$90.00	$53.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	63	$101.00	$40.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	45	$229.00	$100.94
10022 Fine needle aspiration using imaging guidance	61	53	$312.00	$130.62
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	43	43	$1849.00	$618.04
38900 Lymph node imaging during surgery	31	31	$487.55	$134.47
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	30	30	$1302.47	$220.23
75801 Radiological supervision and interpretation of imaging of lymphatic system of one arm or leg	27	27	$125.00	$41.07
19081 Biopsy of breast accessed through the skin with stereotactic guidance	22	22	$1860.00	$157.04
19303 Total removal of breast	19	19	$3150.47	$1061.38
76098 X-ray of surgical specimen	18	17	$58.00	$7.74
19301 Partial removal of breast	17	16	$1513.24	$376.87
76998 Ultrasonic guidance during surgery	16	15	$176.00	$58.33
19316 Enlargement of breast	13	13	$2160.00	$740.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	778	551	$101.00	$40.23
76642 Limited ultrasound scan of 1 breast	228	192	$262.60	$84.58
99202 New patient office or other outpatient visit, typically 20 minutes	170	170	$173.00	$69.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	115	50	$94.00	$37.05
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	70	65	$90.00	$33.58
99221 Initial hospital inpatient care per day, typically 30 minutes	56	55	$228.00	$95.08
10022 Fine needle aspiration using imaging guidance	55	49	$312.00	$129.93
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	51	49	$149.00	$5.15
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	39	39	$1849.00	$612.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	35	$670.00	$273.40
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	33	33	$1239.52	$233.40
38900 Lymph node imaging during surgery	30	30	$465.63	$129.10
75801 Radiological supervision and interpretation of imaging of lymphatic system of one arm or leg	30	30	$125.00	$40.59
47562 Removal of gallbladder using an endoscope	24	24	$2168.00	$603.94
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$150.00	$68.03
19301 Partial removal of breast	21	20	$1470.00	$431.65
19081 Biopsy of breast accessed through the skin with stereotactic guidance	21	21	$1860.00	$183.82
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	20	18	$504.00	$104.68
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	18	18	$1388.00	$212.08
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$1098.06	$166.72
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$1130.00	$176.15
36590 Removal of peripheral venous catheter for infusion	15	15	$914.00	$198.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$1022.00	$111.01
76998 Ultrasonic guidance during surgery	15	14	$176.00	$58.42
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$1125.71	$170.21
19303 Total removal of breast	14	14	$3184.00	$1153.54
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$103.00	$40.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$171.00	$68.38
76098 X-ray of surgical specimen	13	13	$58.00	$7.72
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	11	$1388.00	$218.10
19316 Enlargement of breast	11	11	$2160.00	$712.74

Medical Specialties & State Licenses

CMS Verified: 2022-02-07

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IA 35845

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0467332 (IA)

Commercial Insurance / Payer ID John Deere Health Ins

421417307K5 (IA)

Commercial Insurance / Payer ID Wellmark Ins Plan

39290 (IA)

Hospital & Practice Group Affiliations

Cedar Valley Medical Specialists Pc

1753 W Ridgeway Ave, Waterloo, IA 507014588

Phone: 3198336100

Waverly Health Center

312 9th St Sw, Waverly, IA 506772929

Phone: 3193524120

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Dr. Brian Gerrelts , MD

Surgery

NPI 1003869397

Doctor of Medicine (M.D.)

Barbara Salisbury , ARNP

Nurse Practitioner

NPI 1164083861

Advanced Registered Nurse Practitioner

Dr. David Henry , MD

Surgery

NPI 1285861120

Doctor of Medicine (M.D.)

Dr. Andrew Rikkers , DO

Surgery

NPI 1558455386

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert Cak , MD

Surgery

NPI 1609829688

Doctor of Medicine (M.D.)

Dr. Melissa Garrett , MD

Surgery

NPI 1881910271

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1753 W RIDGEWAY AVE, STE 107, WATERLOO, IA 507014588 (Tel: 3198335907)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2758, WATERLOO, IA 507042758 (Tel: 3198335907)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAYSON GESME

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #35845 in IA)

🟢

Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Jayson Gesme. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1821042698

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 19, 2006

Last Update: February 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2758

Waterloo, IA 507042758

Phone: 3198335907

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.