Active NPI 1437584380 Individual Practitioner Male Practitioner

John M Waldron , PA

Physician Assistant • Johnson City, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Waldron, PA is a certified Physician Assistant practicing in Johnson City, TN. With approximately 13 years of clinical experience since completing medical education in 2013, John Waldron delivers high-quality medical care to the local community at 119 BOONE RIDGE DR.

John Waldron is affiliated with Southeastern Physician Services Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

119 Boone Ridge Dr
Suite 201

Johnson City, TN 376154998

Telephone 4232821480

Fax 4239281353

Associated Practice Facility / Clinic

🏢 Inpatient Medical Services, Pc Facility NPI 1316925191

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Johnson City, TN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +2.4 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

99 Specialists

Practicing in Johnson City, TN (3096 Statewide)

Telehealth Adoption Rate

3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waldron (13 Years) 13 Yrs

Johnson City Specialty Average (10.6 Years) 10.6 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	202	138	$398.50	$92.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	191	118	$270.88	$61.48
99239 Hospital discharge day management, more than 30 minutes	75	74	$411.56	$87.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$490.52	$102.00
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	13	$49.00	$9.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	419	228	$379.91	$94.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	109	79	$264.54	$62.79
99239 Hospital discharge day management, more than 30 minutes	104	102	$391.96	$90.59
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	19	$47.20	$9.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$737.95	$137.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$267.00	$40.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	441	244	$361.45	$81.61
99239 Hospital discharge day management, more than 30 minutes	79	79	$372.24	$83.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	49	$252.34	$56.78
99291 Critical care, first 30-74 minutes	22	17	$773.00	$174.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$254.00	$41.78
99497 Advance care planning, first 30 minutes	14	14	$315.14	$62.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$703.92	$157.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	489	280	$325.03	$82.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	156	103	$227.23	$57.68
99239 Hospital discharge day management, more than 30 minutes	128	127	$334.88	$84.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	58	$646.05	$160.90
99497 Advance care planning, first 30 minutes	14	14	$325.43	$63.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	571	315	$309.70	$85.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	355	218	$216.11	$59.12
99239 Hospital discharge day management, more than 30 minutes	204	191	$321.16	$87.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$608.36	$165.06
99291 Critical care, first 30-74 minutes	20	19	$662.25	$180.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	659	364	$297.01	$83.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	266	166	$204.95	$58.71
99239 Hospital discharge day management, more than 30 minutes	228	209	$305.89	$85.93
99291 Critical care, first 30-74 minutes	37	28	$638.08	$179.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$582.67	$163.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	690	338	$281.23	$84.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	392	237	$197.17	$58.80
99239 Hospital discharge day management, more than 30 minutes	260	243	$290.57	$86.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$545.53	$162.84
99291 Critical care, first 30-74 minutes	36	33	$610.50	$179.94
99497 Advance care planning, first 30 minutes	15	14	$274.73	$64.11
99217 Hospital observation care on day of discharge	12	12	$194.67	$58.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	435	391	$523.73	$159.44
99220 Hospital observation care, typically 70 minutes	92	84	$475.75	$149.87
99291 Critical care, first 30-74 minutes	78	74	$580.08	$179.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	30	$271.58	$84.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	16	$189.43	$58.27
99239 Hospital discharge day management, more than 30 minutes	11	11	$282.73	$86.48

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN PA

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.

Hospital & Practice Group Affiliations

Southeastern Physician Services Pc

403 N State Of Franklin Rd, Johnson City, TN 376046034

Phone: 4234317111

Southeastern Physician Services Pc

1201 Bishop St, Union City, TN 382615403

Phone: 7318852410

Practice Associates & Co-Workers

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

40 Associated Practitioners

Amber Ramsey , FNP-BC

Nurse Practitioner - Family

NPI 1003215039

Family Nurse Practitioner (Board Certified)

Dr. John Daniel , DO

Internal Medicine

NPI 1013987023

Doctor of Osteopathic Medicine (D.O.)

Dr. Walter Arnold , MD

Internal Medicine

NPI 1033162375

Doctor of Medicine (M.D.)

Carleen Ogle , FNP

Nurse Practitioner - Family

NPI 1033593223

Family Nurse Practitioner

Charles Gildrie , LCSW

Social Worker - Clinical

NPI 1053303438

Licensed Clinical Social Worker

Dr. Claudia Cox , MD

Internal Medicine

NPI 1053586941

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 September 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 11, 2013

Registered at 119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 376154998 (Tel: 4232821480)

📍

Updated Business Mailing Address September 11, 2013

Registered at 119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 376154998 (Tel: 4232821480)

👤

Provider Name / Credentials Updated September 11, 2013

Recorded as JOHN WALDRON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2013

Physician Assistant (License #PA in TN)

🟢

Initial NPI Registration & Enumeration September 11, 2013

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 John Waldron. 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: 1437584380

Entity Type:

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

Enumeration Date: September 11, 2013

Last Update: September 11, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

119 Boone Ridge Dr, Suite 201

Johnson City, TN 376154998

Phone: 4232821480

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.