Kimberly L Waller , PA-C
Physician Assistant โข Grants Pass, OR
1701 Nw Hawthorne Ave
Grants Pass, OR 975261051
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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Kimberly Waller is listed in NPPES under Physician Assistant.
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NPI assigned on March 1, 2006; this date does not establish years in practice.
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Published CMS data list 207 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 83036 โ Hemoglobin a1c level: 61 service units.
- 80053 โ Blood test, comprehensive group of blood chemicals: 55 service units.
- 82044 โ Urine microalbumin (protein) analysis: 33 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,050 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Trulicity (Dulaglutide) โ 172 prescription fills, including refills.
- Jardiance (Empagliflozin) โ 152 prescription fills, including refills.
- Levothyroxine Sodium โ 148 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 40 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Grants Pass, OR (2024, 26 clinicians with data). Median for this group: 322. Middle half: 213 to 1,348.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 255 in 2020 to 207 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1701 Nw Hawthorne Ave
Grants Pass, OR 975261051
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 1 group name: Siskiyou Community Health Center Inc. 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
1997
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
46 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 โ by Provider, 2024.
Medicare-allowed amount
About $1,827 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 โ by Provider and Service, 2024.
Paid by Medicare
About $1,827 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 โ by Provider and Service, 2024.
30-day fills
3,788 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
$1,100,357 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2022
All general payments: $182.84 across 4 records.
By nature of payment
- Food and Beverage: $182.84 across 4 records.
Reporting-company totals
- Novo Nordisk Inc: $78.08 across 1 record.
- Bayer HealthCare Pharmaceuticals Inc.: $70.43 across 1 record.
- Dexcom, Inc.: $34.33 across 2 records.
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 2022 (published June 30, 2026).
Years since graduation
29 years (graduated 1997)
CMS Doctors and Clinicians data list 1997 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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Kimberly Waller 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 Kimberly Waller 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 Grants Pass and Oregon
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in Grants Pass, OR (2024, 26 clinicians with data). Median for this group: 322. Middle half: 213 to 1,348.
Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.
Medicare-allowed amount
A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Grants Pass, OR (2024, 26 clinicians with data). Median for this group: $24,563. Middle half: $8,835 to $39,377.
A lower Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $15,959. Middle half: $7,110 to $33,008.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Grants Pass, OR (2024, 26 clinicians with data). Median for this group: $17,970. Middle half: $6,743 to $27,741.
A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $11,156. Middle half: $5,029 to $23,443.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Grants Pass, OR (2024, 28 clinicians with data). Median for this group: 280. Middle half: 116 to 1,020.
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: 340. Middle half: 96 to 1,131.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Grants Pass, OR (2024, 28 clinicians with data). Median for this group: $3,725. Middle half: $1,592 to $150,895.
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: $8,538. Middle half: $984 to $101,656.
42 active clinicians are listed under Physician Assistant with a practice address in Grants Pass, OR (2,095 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Grants Pass
11.9% of these 42 clinicians have the CMS telehealth indicator.
78.6% of these 42 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 19% from 255 in 2020 to 207 in 2024.
- 2020: 255
- 2021: 160
- 2022: 65
- 2023: 120
- 2024: 207
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Medicare-allowed amount
Medicare-allowed amount decreased 26% from $2,478 in 2020 to $1,827 in 2024.
- 2020: $2,478
- 2021: $1,663
- 2022: $358
- 2023: $859
- 2024: $1,827
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Paid by Medicare
Paid by Medicare decreased 26% from $2,478 in 2020 to $1,827 in 2024.
- 2020: $2,478
- 2021: $1,663
- 2022: $358
- 2023: $859
- 2024: $1,827
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 13% from 1,815 in 2020 to 2,050 in 2024.
- 2020: 1,815
- 2021: 1,578
- 2022: 1,801
- 2023: 2,192
- 2024: 2,050
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30-day fills
30-day fills increased 18% from 3,205 in 2020 to 3,788 in 2024.
- 2020: 3,205
- 2021: 3,160
- 2022: 3,780
- 2023: 4,385
- 2024: 3,788
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Part D drug cost
Part D drug cost increased 20% from $913,520 in 2020 to $1,100,357 in 2024.
- 2020: $913,520
- 2021: $903,440
- 2022: $1,080,710
- 2023: $1,391,248
- 2024: $1,100,357
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $15.64 in 2021 to $182.84 in 2022.
- 2021: $15.64
- 2022: $182.84
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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 2022 (payments made January 1 โ December 31, 2022): fewer than 11 records totaling $182.84.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $78.08 |
| Bayer HealthCare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $70.43 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $19.95 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $14.38 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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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83036
Hemoglobin a1c level
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61 | 39 | $41.00 | $9.23 |
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80053
Blood test, comprehensive group of blood chemicals
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55 | 33 | $46.00 | $10.19 |
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82044
Urine microalbumin (protein) analysis
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33 | 25 | $23.00 | $5.95 |
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80061
Blood test, lipids (cholesterol and triglycerides)
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30 | 23 | $57.00 | $12.30 |
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82570
Creatinine level to test for kidney function or muscle injury
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28 | 22 | $23.00 | $4.92 |
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 |
|---|---|---|---|---|---|
| Trulicity | Dulaglutide | 172 | 5,456 | $186,550.32 | 27 |
| Jardiance | Empagliflozin | 152 | 9,241 | $174,517.16 | 40 |
| Levothyroxine Sodium | Levothyroxine Sodium | 148 | 13,188 | $1,753.64 | 38 |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 126 | 5,635 | $125,646.82 | 26 |
| Semglee (Yfgn) Pen | Insulin Glargine-Yfgn | 118 | 5,425 | $56,780.81 | 35 |
| Metformin Hcl | Metformin Hcl | 105 | 8,360 | $1,099.11 | 38 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 95 | 5,267 | $12,090.00 | 38 |
| Ozempic | Semaglutide | 78 | 2,632 | $84,838.38 | 14 |
| Glipizide | Glipizide | 75 | 5,905 | $1,610.68 | 28 |
| Humalog Kwikpen U-100 | Insulin Lispro | 65 | 3,795 | $22,163.86 | 21 |
| Tresiba Flextouch U-200 | Insulin Degludec | 63 | 2,662 | $87,068.55 | 12 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 63 | 3,520 | $26,174.99 | 22 |
| Insulin Aspart Flexpen | Insulin Aspart | 58 | 2,206 | $9,360.43 | 22 |
| Mounjaro | Tirzepatide | 58 | 1,738 | $62,289.24 | โ |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 57 | 2,874 | $41,438.00 | 14 |
| Novolog Flexpen | Insulin Aspart | 54 | 2,807 | $11,425.84 | 25 |
| Tresiba Flextouch U-100 | Insulin Degludec | 45 | 2,735 | $31,336.88 | 11 |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 42 | 1,329 | $26,712.79 | 12 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 42 | 3,063 | $3,046.07 | 19 |
| Insulin Lispro Kwikpen U-100 | Insulin Lispro | 37 | 1,193 | $7,073.52 | 17 |
| Insulin Glargine-Yfgn | Insulin Glargine-Yfgn | 37 | 1,551 | $3,778.44 | 14 |
| Gvoke Hypopen 2-Pack | Glucagon | 36 | 686 | $23,536.13 | 27 |
| Metformin Hcl Er | Metformin Hcl | 31 | 2,645 | $586.56 | 12 |
| Alendronate Sodium | Alendronate Sodium | 29 | 2,268 | $711.45 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 27 | 2,210 | $461.42 | 12 |
(top 25 shown)
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
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20061101000505
OR
0749175255
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
Siskiyou Community Health Center Inc
25647 Redwood Hwy, Cave Junction, OR 975239332
Phone: 5415924111
Siskiyou Community Health Center Inc
1701 Nw Hawthorne Ave, Grants Pass, OR 975261051
Phone: 5414724777
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Bachelor of Arts, Doctor of Medicine (M.D.)
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner
Physician Assistant - Medical
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner
Nurse Practitioner - Family
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: NV PA842)
NPI status registered as active in NPPES database
Registered at 1701 NW HAWTHORNE AVE, GRANTS PASS, OR 975261051 (Tel: 5414713455)
Registered at 1701 NW HAWTHORNE AVE, GRANTS PASS, OR 975261051 (Tel: 5414713455)
Recorded as KIMBERLY WALLER, PA-C
Physician Assistant (license number reported to NPPES: NV PA842)
Physician Assistant (license number reported to NPPES: OR PA01142)
NPI status registered as active in NPPES database
Registered at 700 SW RAMSEY AVE, SUITE 205, GRANTS PASS, OR 975275543 (Tel: 5415072140)
Registered at 2620 E BARNETT RD STE H, MEDFORD, OR 975048383 (Tel: 5417894281)
Recorded as KIMBERLY WALLER, PA-C
Physician Assistant (license number reported to NPPES: OR PA01142)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Grants Pass
- Benjamin Moss, PA-C
- Sarah Witesman, PA-C
- Brooke Logue
- Ryan Wehmann, PA
- Brian Allen, PA
- Andrew Tijerina
Mailing Address
1701 Nw Hawthorne Ave
Grants Pass, OR 975261051
Phone: 5414713455