Active NPI 1245579200 Individual Practitioner Male Practitioner

Jacob Andrew Walters , PA-C

Physician Assistant • Ozark, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Walters, PA-C is a certified Physician Assistant practicing in Ozark, MO. With approximately 14 years of clinical experience since graduating from Drexel University College Of Medicine in 2012, Jacob Walters delivers high-quality medical care to the local community at 3050 E RIVER BLUFF BLVD.

Jacob Walters is affiliated with Mercy Clinic Springfield Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3050 E River Bluff Blvd

Ozark, MO 657218807

Telephone 4178853000

Fax 7177377197

Associated Practice Facility / Clinic

🏢 Mercy Hospital Springfield Facility NPI 1417381831

Medicare Profile & Education

Medical School

Drexel University College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ozark, MO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +2.7 yrs vs City Avg

City Avg: 11.3 Yrs

State Avg: 10.3 Yrs

Regional Practice Density

18 Specialists

Practicing in Ozark, MO (1802 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walters (14 Years) 14 Yrs

Ozark Specialty Average (11.3 Years) 11.3 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	316	48	$5.00	$0.99
99213 Established patient office or other outpatient visit, typically 15 minutes	148	119	$132.00	$70.67
27447 Replacement of knee joint, both sides of knee	80	74	$1473.39	$161.50
20610 Aspiration and/or injection of fluid from large joint	78	59	$256.38	$57.81
73564 X-ray of knee, 4 or more views	49	46	$137.65	$43.66
27130 Replacement of thigh bone and hip joint with prosthesis	47	44	$1489.86	$161.92
73502 X-ray of hip, 2-3 views	23	23	$64.00	$31.27
73562 X-ray of knee, 3 views	22	20	$95.45	$30.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$171.00	$86.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$188.00	$95.05
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	15	11	$1879.00	$685.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	348	54	$5.00	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	141	120	$124.47	$71.38
27447 Replacement of knee joint, both sides of knee	87	80	$1483.08	$165.62
20610 Aspiration and/or injection of fluid from large joint	80	64	$264.82	$59.41
27130 Replacement of thigh bone and hip joint with prosthesis	45	42	$1461.90	$165.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$175.50	$101.73
27487 Revision of thigh and lower leg bone components of total knee joint prosthesis	14	14	$1993.33	$225.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	83	$114.00	$71.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	16	$5.00	$1.11
27447 Replacement of knee joint, both sides of knee	38	37	$1467.90	$162.85
27130 Replacement of thigh bone and hip joint with prosthesis	24	24	$1466.41	$159.05
20610 Aspiration and/or injection of fluid from large joint	22	22	$234.00	$55.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$163.00	$101.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$166.00	$88.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	311	80	$23.00	$6.66
99213 Established patient office or other outpatient visit, typically 15 minutes	177	167	$147.49	$75.03
20610 Aspiration and/or injection of fluid from large joint	73	73	$192.58	$55.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$227.00	$92.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	48	$208.26	$98.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$77.00	$46.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	726	168	$23.00	$7.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	219	$236.00	$89.91
99213 Established patient office or other outpatient visit, typically 15 minutes	192	188	$153.00	$62.22
20610 Aspiration and/or injection of fluid from large joint	163	154	$194.36	$54.03
99202 New patient office or other outpatient visit, typically 20 minutes	92	92	$152.00	$63.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$229.00	$88.98
25600 Closed treatment of broken forearm bones	12	12	$928.00	$266.04
20550 Injection into tendon or ligament	12	12	$121.00	$46.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,164	277	$23.00	$6.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	465	446	$239.68	$88.65
20610 Aspiration and/or injection of fluid from large joint	276	268	$191.26	$51.52
99213 Established patient office or other outpatient visit, typically 15 minutes	219	216	$154.15	$60.09
99202 New patient office or other outpatient visit, typically 20 minutes	110	110	$159.07	$62.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$229.86	$87.60
20550 Injection into tendon or ligament	19	18	$131.37	$40.44
27786 Closed treatment of broken ankle	13	13	$859.69	$226.32
28470 Closed treatment of broken foot bone	12	12	$607.00	$166.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	578	137	$21.19	$6.93
99213 Established patient office or other outpatient visit, typically 15 minutes	251	244	$199.65	$59.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	182	$286.90	$87.04
20610 Aspiration and/or injection of fluid from large joint	128	126	$191.05	$52.55
99202 New patient office or other outpatient visit, typically 20 minutes	92	92	$204.65	$61.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$273.37	$87.16
20605 Aspiration and/or injection of medium joint or joint capsule	11	11	$151.00	$40.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	405	100	$8.68	$7.04
99213 Established patient office or other outpatient visit, typically 15 minutes	193	186	$115.00	$59.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	90	$139.56	$87.49
20610 Aspiration and/or injection of fluid from large joint	89	87	$119.35	$50.91
99202 New patient office or other outpatient visit, typically 20 minutes	78	78	$108.00	$60.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$155.00	$88.77

Medical Specialties & State Licenses

CMS Verified: 2021-08-18

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2021024722

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PA MA055982

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License PA MA055982

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License PA MA055982

Definition to come...

Hospital & Practice Group Affiliations

Mercy Clinic Springfield Communities

2115 S Fremont Ave, Springfield, MO 658042236

Phone: 4178203905

Mercy Clinic Springfield Communities

1605 Martin Springs Dr, Rolla, MO 654012980

Mercy Clinic Springfield Communities

331 Hospital Dr, Lebanon, MO 655369251

Mercy Clinic Springfield Communities

3050 E River Bluff Blvd, Ozark, MO 657218807

Phone: 4178205610

Mercy Clinic Springfield Communities

1235 E Cherokee St, Springfield, MO 658042203

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Yucha , MD

Orthopaedic Surgery

NPI 1023002904

Doctor of Medicine (M.D.)

Dr. Daniel Hely , MD

Orthopaedic Surgery

NPI 1053301549

Doctor of Medicine (M.D.)

Kenneth Tomalavage , PA-C

Physician Assistant

NPI 1053328492

Physician Assistant (Certified)

Dr. Thomas Walter , MPA-C, DPT

Physician Assistant - Medical

NPI 1083685192

MPAC, Doctor of Physical Therapy

Dr. Matthew Kelly , MD

Orthopaedic Surgery

NPI 1093793531

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location August 18, 2021

Registered at 3050 E RIVER BLUFF BLVD, OZARK, MO 657218807 (Tel: 4178853000)

📍

Updated Business Mailing Address August 18, 2021

Registered at 3050 E RIVER BLUFF BLVD, OZARK, MO 657218807 (Tel: 4178853000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2021

Physician Assistant (License #2021024722 in MO)

📍

Updated Practice Location August 06, 2019

Registered at 3399 TRINDLE RD, CAMP HILL, PA 17011 (Tel: 7177615530)

📍

Updated Business Mailing Address August 06, 2019

Registered at 3399 TRINDLE RD, CAMP HILL, PA 170114407 (Tel: 7177615530)

👤

Provider Name / Credentials Updated August 06, 2019

Recorded as JACOB WALTERS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2019

Physician Assistant (License #MA055982 in PA)

✅

NPI Profile Active March 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2014

Registered at 503 N 21ST ST, ORTENZIO HEART CENTER, CAMP HILL, PA 170112204 (Tel: 7179727639)

📍

Updated Business Mailing Address March 04, 2014

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360 (Tel: 8002431455)

👤

Provider Name / Credentials Updated March 04, 2014

Recorded as JAOCB WALTERS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2014

Physician Assistant (License #MA055982 in PA)

🟢

Initial NPI Registration & Enumeration February 11, 2013

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: 1245579200

Entity Type:

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

Enumeration Date: February 11, 2013

Last Update: August 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3050 E River Bluff Blvd

Ozark, MO 657218807

Phone: 4178853000

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.