DR. JASON WAITE (DPM) – Podiatrist, NPI 1073950440

DR. JASON WAITE (DPM) is a healthcare provider. based in Gunnison, Utah. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 9114085-0501 (UT). The NPI Number for DR. JASON WAITE (DPM) is 1073950440

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON WAITE (DPM)
NPI
1073950440
Phone
(516) 506-8839
Address
PO BOX 702
Enumeration Date
25 May 2013
Last Update Date
2 January 2024

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7028652700
Graduation Year
2010 (16 years ago)
PAC ID
9739313537
Group Practice PAC ID
0840430724
Professional Enrollment ID
I20180618001476
Address ID
NV890250819MO10XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

198 PODIATRY in UT

Provider Addresses for DR. JASON WAITE (DPM)

  • PO BOX 702

    GUNNISON, UT 846340702

    Phone: (516) 506-8839

    Type: Mailing

  • 65 E 100 N

    GUNNISON, UT 84634

    Phone: (516) 506-8839

    Type: Location

  • PO BOX 110

    CASTLE DALE, UT 845130110

    Phone: (516) 506-8839

    Type: Mailing

  • 1257 PAIUTE CIR

    LAS VEGAS, NV 891063202

    Phone: (516) 506-8839

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-06-18

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
I20180618001476IPodiatryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84634)

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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: 0840430724View full group profile
NameSpecialtyState
Nurse PractitionerOK

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Frequently asked questions

What federal number belongs to DR. JASON WAITE (DPM)?
The federal identifier for DR. JASON WAITE (DPM) is NPI 1073950440.
Is DR. JASON WAITE (DPM)'s NPI currently valid?
The extract we use shows DR. JASON WAITE (DPM) as active.
Can you summarize DR. JASON WAITE (DPM)'s specialty in plain language?
Clinically, the directory lists DR. JASON WAITE (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JASON WAITE (DPM)?
The page summarizes Gunnison, Utah for DR. JASON WAITE (DPM); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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