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Dr. Jacqueline Kate Wade , MD

Pediatrics β€’ Wright Patterson Afb, OH

Active NPI 1861853988 Individual Practitioner Female Practitioner
Practice location in NPPES

4881 Sugar Maple Dr
Wright Patterson Afb, OH 454335529

Call 3752247239 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Telephone 3752247239
Organization at the Same NPPES Address or Phone
United States Air Force Facility NPI 1407842347

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $110.94 in 2022

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2022.

Guide: How to read an Open Payments record

NPI first issued

2016

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wade 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Wade 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Wright Patterson Afb and Ohio

5 active clinicians are listed under Pediatrics with a practice address in Wright Patterson Afb, OH (2,972 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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

Open Payments Β· Program Year 2022

Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $110.94.

Manufacturer Payment Nature Product Type Amount ($)
Medical Device Business Services, Inc.
Food and Beverage
In-kind items and services
β€” General $110.94

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NE 30360

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20200730003216

Enrollment State Jurisdiction

TX

PECOS Control ID

9335564830

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1497173850
NPI 1215924048

Doctor of Medicine (M.D.)

Dr. Eric Bahorik , MD

Radiology - Diagnostic Radiology

NPI 1568967172

Doctor of Medicine (M.D.)

Dr. Jason Beachler , MD

Orthopaedic Surgery

NPI 1508108010

Doctor of Medicine (M.D.)

Austin Brokamp

Internal Medicine - Cardiovascular Disease

NPI 1184111346
Dr. Henrik Close , MD

Psychiatry & Neurology - Psychiatry

NPI 1841653599

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location May 03, 2024

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 3752247239)

πŸ“
Updated Business Mailing Address May 03, 2024

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9375224723)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2019

Pediatrics (license number reported to NPPES: NE 30360)

βœ…
NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 03, 2017

Registered at 3551 ROGER BROOKE DR, JBSA FORT SAM HOUSTON, SAN ANTONIO, TX 782344504 (Tel: 2109169928)

πŸ“
Updated Business Mailing Address October 03, 2017

Registered at 3551 ROGER BROOKE DR, JBSA FORT SAM HOUSTON, SAN ANTONIO, TX 782344504 (Tel: 2109169928)

πŸ‘€
Provider Name / Credentials Updated October 03, 2017

Recorded as JACQUELINE WADE, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

General Practice (license number reported to NPPES: NE 30360)

βœ…
NPI Profile Active March 17, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 17, 2016

Registered at 3551 ROGER BROOKE DR, JBSA FORT SAM HOUSTON, SAN ANTONIO, TX 782344504 (Tel: 2109169928)

πŸ“
Business Mailing Address (Initial Record) March 17, 2016

Registered at 3551 ROGER BROOKE DR, JBSA FORT SAM HOUSTON, SAN ANTONIO, TX 782344504 (Tel: 2109169928)

πŸ‘€
Provider Name / Credentials (Initial Record) March 17, 2016

Recorded as JACQUELINE WADE, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2016

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 17, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861853988
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2016
Last Update: May 03, 2024
Sole Proprietor: No

Mailing Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Phone: 9375224723

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.