Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609480359 Individual Practitioner Male Practitioner

Jacob Watters

Physician Assistant • Roseburg, OR

Professional Overview & Biography Verified Profile Summary

Jacob Watters is a registered healthcare professional specializing in Physician Assistant in Roseburg, OR. Practice services are available at 2700 NW STEWART PKWY under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2700 Nw Stewart Pkwy

Roseburg, OR 974711281

Telephone 5416730611
Associated Practice Facility / Clinic
🏢 Mercy Healthcare, Inc Facility NPI 1790766822

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roseburg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
34 Specialists

Practicing in Roseburg, OR (2106 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99284 Emergency department visit with moderate level of medical decision making
222 210 $833.51 $98.07
99285 Emergency department visit for life threatening or functioning severity
84 81 $1226.21 $142.08
99283 Emergency department visit with low level of medical decision making
16 16 $441.38 $57.50
29125 Application of nonmoveable forearm to hand splint
11 11 $313.45 $31.79

Medical Specialties & State Licenses

CMS Verified: 2020-10-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA201167

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.

Practice Associates & Co-Workers

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

29 Associated Practitioners
Emmalee Vittetoe

Physician Assistant

NPI 1053010876
Dr. Jason Gray , MD

Anesthesiology

NPI 1174565972

Doctor of Medicine (M.D.)

Dr. Kate Bayliss , MD, PhD

Emergency Medicine

NPI 1194229146

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Scott Smith , MD

Emergency Medicine

NPI 1295149870

Doctor of Medicine (M.D.)

NPI 1346026168
NPI 1366871493

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Physician Assistant (License #PA201167 in OR)

NPI Profile Active September 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2020

Registered at 2700 NW STEWART PKWY, ROSEBURG, OR 974711281 (Tel: 5416730611)

📍
Updated Business Mailing Address September 01, 2020

Registered at 2971 INTERSTATE AVE, ARCO, ID 832138705 (Tel: 8013675004)

👤
Provider Name / Credentials Updated September 01, 2020

Recorded as JACOB WATTERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609480359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2020
Last Update: October 01, 2020
Sole Proprietor: No

Mailing Address

2971 Interstate Ave

Arco, ID 832138705

Phone: 8013675004

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.