Jayson Eric Gesme
Surgery • Waterloo, IA
1753 W Ridgeway Ave, Ste 107
Waterloo, IA 507014588
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 19, 2006; this date does not establish years in practice.
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Published CMS data list 1,741 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 535 service units.
- 76642 — Limited ultrasound scan of 1 breast: 334 service units.
- 99213 — Established patient outpatient office visit: 164 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 20 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 22 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cephalexin — 22 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Surgery in Waterloo, IA (2024, 11 clinicians with data). Median for this group: 224. Middle half: 147 to 264.
More Medicare Part B services than 95% of clinicians listed under Surgery in Iowa (2024, 165 clinicians with data). Median for this group: 218. Middle half: 108 to 446.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,997 in 2020 to 1,741 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 507014588
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Cedar Valley Medical Specialists Pc; Waverly Health Center. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Iowa, Rj & L Carver College Of Medicine
2000
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
552 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $224,904 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $167,903 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
22 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$74 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,095.79 across 9 records.
By nature of payment
- Travel and Lodging: $1,741.04 across 2 records.
- Food and Beverage: $354.75 across 7 records.
Reporting-company totals
- Applied Medical Resources Corporation: $2,045.59 across 7 records.
- TerSera Therapeutics LLC: $31.97 across 1 record.
- Elucent Medical: $18.23 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
26 years (graduated 2000)
CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Jayson Gesme has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Jayson Gesme as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Waterloo and Iowa
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Surgery in Waterloo, IA (2024, 11 clinicians with data). Median for this group: 224. Middle half: 147 to 264.
More Medicare Part B services than 95% of clinicians listed under Surgery in Iowa (2024, 165 clinicians with data). Median for this group: 218. Middle half: 108 to 446.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Surgery in Waterloo, IA (2024, 11 clinicians with data). Median for this group: $24,603. Middle half: $17,019 to $29,500.
A higher Medicare-allowed amount than 95% of clinicians listed under Surgery in Iowa (2024, 165 clinicians with data). Median for this group: $26,263. Middle half: $10,824 to $51,039.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Surgery in Waterloo, IA (2024, 11 clinicians with data). Median for this group: $18,813. Middle half: $12,192 to $23,148.
A higher Medicare payment amount than 95% of clinicians listed under Surgery in Iowa (2024, 165 clinicians with data). Median for this group: $19,774. Middle half: $8,669 to $39,413.
Medicare Part D prescriptions
Fewer Part D prescriptions than 70% of clinicians listed under Surgery in Waterloo, IA (2024, 11 clinicians with data). Median for this group: 75. Middle half: 18 to 139.
Fewer Part D prescriptions than 75% of clinicians listed under Surgery in Iowa (2024, 221 clinicians with data). Median for this group: 61. Middle half: 23 to 126.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Surgery in Waterloo, IA (2024, 11 clinicians with data). Median for this group: $128. Middle half: $77 to $3,177.
A lower Part D drug cost than 75% of clinicians listed under Surgery in Iowa (2024, 221 clinicians with data). Median for this group: $320. Middle half: $87 to $2,116.
16 active clinicians are listed under Surgery with a practice address in Waterloo, IA (437 in Iowa).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Waterloo
6.2% of these 16 clinicians have the CMS telehealth indicator.
62.5% of these 16 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 13% from 1,997 in 2020 to 1,741 in 2024.
- 2020: 1,997
- 2021: 2,112
- 2022: 1,956
- 2023: 1,811
- 2024: 1,741
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $238,745 in 2020 and $224,904 in 2024.
- 2020: $238,745
- 2021: $278,027
- 2022: $244,609
- 2023: $226,169
- 2024: $224,904
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Paid by Medicare
Paid by Medicare stayed about the same: $178,009 in 2020 and $167,903 in 2024.
- 2020: $178,009
- 2021: $208,618
- 2022: $180,977
- 2023: $170,079
- 2024: $167,903
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 79% from 106 in 2020 to 22 in 2024.
- 2020: 106
- 2021: 108
- 2022: 57
- 2023: 30
- 2024: 22
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30-day fills
30-day fills decreased 79% from 106 in 2020 to 22 in 2024.
- 2020: 106
- 2021: 108
- 2022: 57
- 2023: 30
- 2024: 22
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Part D drug cost
Part D drug cost went from $760 in 2020 to $74 in 2024.
- 2020: $760
- 2021: $808
- 2022: $431
- 2023: $222
- 2024: $74
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $165.13 in 2019 to $2,095.79 in 2025.
- 2019: $165.13
- 2022: $74.01
- 2023: $69.21
- 2025: $2,095.79
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $2,095.79.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Applied Medical Resources Corporation |
Travel and Lodging
Cash or cash equivalent
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GelPOINT Advanced Access Platform | General | $972.05 |
| Applied Medical Resources Corporation |
Travel and Lodging
Cash or cash equivalent
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GelPOINT Advanced Access Platform | General | $768.99 |
| Applied Medical Resources Corporation |
Food and Beverage
In-kind items and services
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— | General | $108.98 |
| Applied Medical Resources Corporation |
Food and Beverage
In-kind items and services
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— | General | $102.68 |
| Applied Medical Resources Corporation |
Food and Beverage
In-kind items and services
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GelPOINT Advanced Access Platform | General | $33.58 |
| TerSera Therapeutics LLC |
Food and Beverage
In-kind items and services
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Zoladex | General | $31.97 |
| Applied Medical Resources Corporation |
Food and Beverage
In-kind items and services
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GelPOINT Advanced Access Platform | General | $31.55 |
| Applied Medical Resources Corporation |
Food and Beverage
In-kind items and services
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GelPOINT Advanced Access Platform | General | $27.76 |
| Elucent Medical |
Food and Beverage
Cash or cash equivalent
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— | General | $18.23 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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535 | 402 | $255.00 | $118.12 |
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76642
Limited ultrasound scan of 1 breast
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334 | 241 | $266.47 | $80.98 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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164 | 122 | $170.00 | $83.87 |
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76882
Limited ultrasound scan of joint or other extremity structure except blood vessels
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143 | 102 | $134.16 | $58.00 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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84 | 63 | $360.00 | $160.50 |
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10005
Fine needle aspiration biopsy using ultrasound guidance, first growth
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55 | 48 | $332.00 | $121.80 |
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76098
X-ray of surgical specimen
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46 | 45 | $58.00 | $13.98 |
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38525
Biopsy or removal of deep lymph nodes of underarm
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45 | 45 | $1302.47 | $221.86 |
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38900
Imaging of lymph nodes during surgery
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44 | 44 | $489.23 | $128.29 |
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75801
Review by radiologist of lymphatic system of arm or leg image
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44 | 44 | $125.00 | $37.88 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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38 | 38 | $405.00 | $153.64 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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37 | 37 | $520.00 | $199.02 |
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19301
Partial removal of breast
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29 | 26 | $1577.59 | $418.19 |
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19281
Placement of locating device in breast using imaging guidance, first growth
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26 | 26 | $680.00 | $44.52 |
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19316
Repair for sagging of the breast
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25 | 24 | $2203.20 | $680.82 |
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99442
Telephone medical discussion with physician, 11-20 minutes
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23 | 22 | $111.52 | $82.07 |
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19120
Removal of growth and tissue of breast, duct, or nipple
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22 | 22 | $1268.18 | $261.50 |
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19303
Simple complete removal of breast
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19 | 19 | $3485.74 | $1161.10 |
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76998
Ultrasonic guidance during surgery
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15 | 14 | $176.00 | $41.30 |
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19281
Placement of locating device in breast using imaging guidance, first growth
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13 | 13 | $680.00 | $51.26 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 22 | 120 | $73.85 | 21 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-02-07NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20050801000843
IA
6800824830
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Cedar Valley Medical Specialists Pc
1753 W Ridgeway Ave, Waterloo, IA 507014588
Phone: 3198336100
Waverly Health Center
312 9th St Sw, Waverly, IA 506772929
Phone: 3193524120
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Surgery
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Surgery
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History
NPI enumerated May 19, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Surgery Specialists in Waterloo
- Dr. Melissa Garrett, MD
- Dr. Andrew Rikkers, DO
- Dr. Brian Gerrelts, MD
- Dr. Scott Hinze, DO
- Dr. Neil Mcmahon, MD
- Dr. Jason Kasenberg, DO
Mailing Address
Po Box 2758
Waterloo, IA 507042758
Phone: 3198335907