JACK WAXMAN (M.D.) – Rheumatology Physician, NPI 1104824994
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JACK WAXMAN (M.D.)
4015 QUARTZ DR
SANTA ROSA, CA 954055580
Phone: (707) 481-7215
Type: Mailing
210, 4th Street, Santa Rosa, Sonoma County, California, 95401, United States
SANTA ROSA, CA 954043661
Phone: (707) 573-6942
Fax: (707) 575-6038
Type: Location
3536, Mendocino Avenue, Santa Rosa, Sonoma County, California, 95401, United States
STE 200
SANTA ROSA, CA 954033634
Phone: (707) 525-6485
Fax: (707) 575-6038
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $1,646.
Total Amount is formed as General ($1,646) + Research ($0) + Ownership ($0) = $1,646.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Amgen Inc. ($563).
Total Amount
$1,646
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,646
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $563 |
| ABBVIE INC. | $395 |
| Janssen Scientific Affairs, LLC | $262 |
| UCB, Inc. | $186 |
| Aurinia Pharma U.S., Inc. | $79 |
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: 2008-06-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080625000765 | I | Rheumatology | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 272 | 45 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 114 | 32 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 33 | 32 | $0 |
Insurance plans in this area (ZIP 95405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | CA | 96415 | Infusion of chemotherapy into a vein | 92 | 18 |
Group practice members
| Name | Specialty | State |
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| - | CA | |
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Reviews
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