Active NPI 1053334219 Individual Practitioner Male Practitioner

Dr. Andrew Waller , MD

General Practice • Abingdon, VA

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Waller, MD is a certified General Practice practicing in Abingdon, VA. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Waller delivers high-quality medical care to the local community at 300 VALLEY ST NE.

Dr. Waller is affiliated with Revida Recovery Centers Pc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include testing for presence of drug, read by direct observation, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 Valley St Ne

Abingdon, VA 242102912

Telephone 2762068197

Fax 2762068761

Associated Practice Facility / Clinic

🏢 Revida Recovery Centers, Pc Facility NPI 1013483486

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Abingdon, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +13.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Abingdon, VA (440 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waller (40 Years) 40 Yrs

Abingdon Specialty Average (26.5 Years) 26.5 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
80305 Testing for presence of drug, read by direct observation	121	38	$40.00	$12.35

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	94	14	$334.02	$118.91

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	76	16	$285.00	$121.44

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	137	18	$136.99	$107.94

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	229	35	$95.63	$86.85

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	162	28	$207.00	$103.39

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	173	148	$163.00	$72.97
99213 Established patient office or other outpatient visit, typically 15 minutes	63	59	$109.00	$48.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	23	$163.00	$93.74
80305 Testing for presence of drug, read by direct observation	54	16	$12.00	$11.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$190.00	$118.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$305.00	$174.83

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	589	288	$163.00	$76.05
80305 Testing for presence of drug, read by direct observation	172	59	$12.00	$8.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	47	$163.00	$100.12
99213 Established patient office or other outpatient visit, typically 15 minutes	123	98	$109.00	$49.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$325.00	$203.64
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$305.00	$172.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$241.00	$145.78

Medical Specialties & State Licenses

CMS Verified: 2026-02-25

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101257630

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License VA 0101257630

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Addiction Medicine

NUCC Taxonomy Code: 207RA0401X

State License VA 0101257630

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

General Practice

NUCC Taxonomy Code: 208D00000X

State License TN 51691

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Revida Recovery Centers Pc

3114 Browns Mill Rd, Johnson City, TN 376041417

Phone: 4236310432

Revida Recovery Centers Pc

300 Valley St Ne, Abingdon, VA 242102912

Phone: 2762068197

Secondary Practice Locations

3114 Browns Mill Rd

Johnson City, TN 376041417

Phone: 4236310432

Practice Associates & Co-Workers

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

4 Associated Practitioners

Phyllis Justus , APRN, FNP, MSN

Nurse Practitioner - Family

NPI 1104163021

Advanced Practice Registered Nurse, Family Nurse Practitioner, Master of Science in Nursing

Dr. Hannah Ratliff , DO

General Practice

NPI 1295179364

Doctor of Osteopathic Medicine (D.O.)

Joshua Mullins , FNP-C

Nurse Practitioner - Family

NPI 1598226045

Family Nurse Practitioner (Certified)

Candace Carbary , AGNP-C

Nurse Practitioner

NPI 1710485503

Adult-Gerontology Nurse Practitioner (Certified)

Career & Practice History Timeline

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

17 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2026

Internal Medicine (License #0101257630 in VA)

📍

Updated Practice Location August 14, 2023

Registered at 300 VALLEY ST NE, ABINGDON, VA 242102912 (Tel: 2762068197)

📍

Updated Business Mailing Address August 14, 2023

Registered at 300 VALLEY ST NE, ABINGDON, VA 242102912 (Tel: 2762068197)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2023

Internal Medicine (License #0101257630 in VA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (License #4301406915 in MI)

✅

NPI Profile Active December 04, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 04, 2017

Registered at 5361 MCAULEY DR, YPSILANTI, MI 481971011 (Tel: 7347121300)

📍

Updated Business Mailing Address December 04, 2017

Registered at 24 FRANK LLOYD WRIGHT DR, LOBBY J, ANN ARBOR, MI 481059484 (Tel: 7347476766)

👤

Provider Name / Credentials Updated December 04, 2017

Recorded as ANDREW WALLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2017

Internal Medicine (License #4301406915 in MI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2017

Internal Medicine (License #AW406915 in MI)

✅

NPI Profile Active January 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2015

Registered at 5361 MCAULEY DR, YPSILANTI, MI 481971011 (Tel: 7347121300)

📍

Updated Business Mailing Address January 14, 2015

Registered at 24 FRANK LLOYD WRIGHT DR, LOBBY J, ANN ARBOR, MI 481059484 (Tel: 7347476766)

👤

Provider Name / Credentials Updated January 14, 2015

Recorded as ANDREW WALLER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2015

Internal Medicine (License #AW406915 in MI)

🟢

Initial NPI Registration & Enumeration July 26, 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 Dr. Andrew Waller. 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: 1053334219

Entity Type:

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

Enumeration Date: July 26, 2006

Last Update: February 25, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 Valley St Ne

Abingdon, VA 242102912

Phone: 2762068197

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.