DAVID T WALDRON (PA) – Physician Assistant, NPI 1669418455

DAVID T WALDRON (PA) is a healthcare provider. based in American fork, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 3510331206 (UT). The NPI Number for DAVID T WALDRON (PA) is 1669418455

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DAVID T WALDRON (PA)
NPI
1669418455
Phone
(801) 492-2330
Address
98 N 1100 E STE 103
Enumeration Date
21 June 2006
Last Update Date
30 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013578310
Graduation Year
1997 (29 years ago)
PAC ID
2769426899
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20050620000190
Address ID
UT846043380PR1034X500X304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for DAVID T WALDRON (PA)

  • 98 N 1100 E STE 103

    AMERICAN FORK, UT 840032940

    Phone: (801) 492-2330

    Fax: (801) 492-2375

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Anika Therapeutics, Inc. ($143).

Total Amount

$143

General + Research + Ownership

Payments

1

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Anika Therapeutics, Inc.$143
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: 2005-06-20

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
I20050620000190IPhysician AssistantUTTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11230$0
99213Established patient office or other outpatient visit, 20-29 minutes3933$0
20600Aspiration and/or injection of fluid from small joint3013$0
20550Injection into tendon or ligament2518$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 84003)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DAVID T WALDRON (PA) for billing?
Administrative and clinical systems typically use NPI 1669418455 for DAVID T WALDRON (PA).
Is DAVID T WALDRON (PA)'s NPI status active today?
Active status means DAVID T WALDRON (PA)'s NPI record is not deactivated in the public file.
What does the directory say DAVID T WALDRON (PA) does?
Insurance directories may phrase it differently, but here DAVID T WALDRON (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DAVID T WALDRON (PA)?
DAVID T WALDRON (PA) is associated with American Fork, Utah in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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