JEFFERY L WALDING (MD) – Plastic and Reconstructive Surgery Physician, NPI 1366629917

JEFFERY L WALDING (MD) is a healthcare provider. based in Dothan, Alabama. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. FW1724980 (SC). The NPI Number for JEFFERY L WALDING (MD) is 1366629917

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
JEFFERY L WALDING (MD)
NPI
1366629917
Phone
(334) 699-7477
Address
2800 ROSS CLARK CIR STE 2
Enumeration Date
25 January 2008
Last Update Date
14 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
3346997477
Graduation Year
2004 (22 years ago)
PAC ID
5092987933
Group Practice PAC ID
6103143110
Professional Enrollment ID
I20111018000780
Address ID
AL363032525DO3400XCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

68 PLASTIC AND RECONSTRUCTIVE SURGERY in AL

Provider Addresses for JEFFERY L WALDING (MD)

  • Ross Clark Circle, Sherwood Forest, Dothan, Houston County, Alabama, 36303, United States

    DOTHAN, AL 363019917

    Phone: (334) 699-7477

    Type: Mailing

  • 3400 ROSS CLARK CIR

    DOTHAN, AL 363032525

    Phone: (334) 699-7477

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $1,709.

Total Amount is formed as General ($1,709) + Research ($0) + Ownership ($0) = $1,709.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($454).

Total Amount

$1,709

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,709

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111018000780IPlastic And Reconstructive SurgeryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q4158Kerecis omega3, per square centimeter60311$0
Q4194Novachor, per square centimeter39627$0
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less12922$0
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm6453$0
11602Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm5139$0
View full utilization report →

Insurance plans in this area (ZIP 36301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103143110View full group profile
NameSpecialtyState
Otolaryngology, Plastic And Reconstructive SurgeryFL

Reviews

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Frequently asked questions

What NPI should I save for JEFFERY L WALDING (MD)?
Save NPI 1366629917 if you need a stable reference for JEFFERY L WALDING (MD).
Is JEFFERY L WALDING (MD) active in the national directory?
JEFFERY L WALDING (MD)'s public NPI profile is in an active state.
Does JEFFERY L WALDING (MD) list a primary specialty?
If you are matching referrals, note Plastic and Reconstructive Surgery Physician for JEFFERY L WALDING (MD). Clinical services aligned with this taxonomy classification.
Does JEFFERY L WALDING (MD) practice in Alabama?
You will see Dothan, Alabama on file for JEFFERY L WALDING (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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