DR. JEREMY DAVID WALDRAM (M.D.) – Allergy & Immunology Physician, NPI 1396972311
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
521 ALLERGY/IMMUNOLOGY in CA
Provider Addresses for DR. JEREMY DAVID WALDRAM (M.D.)
Naval Medical Ctr
34800 Bob Wilson Dr
San Diego, CA 921345000
Phone: (619) 216-0466
Type: Location
1000 N CURTIS RD STE 303
BOISE, ID 837061347
Phone: (208) 377-4000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $706.
Total Amount is formed as General ($706) + Research ($0) + Ownership ($0) = $706.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($234).
Total Amount
$706
General + Research + Ownership
Payments
33
Total payment records
General Amount
$706
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $234 |
| Genentech USA, Inc. | $66 |
| kaleo, Inc. | $64 |
| GlaxoSmithKline, LLC. | $60 |
| Blueprint Medicines Corporation | $41 |
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: 2020-07-29
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 |
|---|---|---|---|---|
| I20200729001127 | I | Allergy/Immunology | ID | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 4,143 | 63 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 444 | 14 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 428 | 20 | $0 |
| 95117 | Professional service for multiple injections of allergen | 337 | 38 | $0 |
| 95115 | Professional service for single injection of allergen | 143 | 12 | $0 |
Insurance plans in this area (ZIP 92134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Allergy/Immunology, Internal Medicine | ID | |
| Physician Assistant | ID | |
| Allergy/Immunology, Pediatric Medicine | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID |
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