Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jacob Watters

Physician Assistant โ€ข Roseburg, OR

Active NPI 1609480359 Individual Practitioner Male Practitioner
Practice location in NPPES

2700 Nw Stewart Pkwy
Roseburg, OR 974711281

Call 5416730611 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

2700 Nw Stewart Pkwy

Roseburg, OR 974711281

Telephone 5416730611
Organization at the Same NPPES Address or Phone
Mercy Healthcare, Inc Facility NPI 1790766822

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

Medicare patients

305 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $34,976 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.

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 $26,700 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

125 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

$440 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2020

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, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacob Watters 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 Jacob Watters 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 Roseburg and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Roseburg, OR (2024, 21 clinicians with data). Median for this group: 161. Middle half: 71 to 333.

More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Oregon (2024, 1,139 clinicians with data). Median for this group: 217. Middle half: 97 to 503.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Roseburg, OR (2024, 21 clinicians with data). Median for this group: $8,201. Middle half: $1,357 to $34,976.

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Oregon (2024, 1,139 clinicians with data). Median for this group: $15,883. Middle half: $7,100 to $33,327.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Roseburg, OR (2024, 21 clinicians with data). Median for this group: $5,805. Middle half: $1,192 to $26,700.

A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Oregon (2024, 1,139 clinicians with data). Median for this group: $11,125. Middle half: $5,014 to $23,802.

Medicare Part D prescriptions

Fewer Part D prescriptions than 75% of clinicians listed under Physician Assistant in Roseburg, OR (2024, 23 clinicians with data). Median for this group: 627. Middle half: 132 to 1,602.

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Oregon (2024, 1,332 clinicians with data). Median for this group: 342. Middle half: 96 to 1,131.

Part D drug cost

A lower Part D drug cost than 90% of clinicians listed under Physician Assistant in Roseburg, OR (2024, 23 clinicians with data). Median for this group: $10,741. Middle half: $837 to $152,267.

A lower Part D drug cost than 80% of clinicians listed under Physician Assistant in Oregon (2024, 1,332 clinicians with data). Median for this group: $8,935. Middle half: $979 to $101,656.

35 active clinicians are listed under Physician Assistant with a practice address in Roseburg, OR (2,131 in Oregon).

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

Telehealth indicator in Roseburg

2.9% of these 35 clinicians have the CMS telehealth indicator.

60% of these 35 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“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 โ€“ by Provider and Service data, 2021โ€“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
99284 Emergency department visit with moderate level of medical decision making
222 210 $833.51 $98.07
99285 Emergency department visit with high level of medical decision making
84 81 $1226.21 $142.08
99283 Emergency department visit with low level of medical decision making
16 16 $441.38 $57.50
29125 Application of nonmoveable forearm to hand splint
11 11 $313.45 $31.79

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 44 282 $187.90 42
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 23 170 $83.31 21
Tramadol Hcl Tramadol Hcl 16 65 $22.89 16
Prednisone Prednisone 15 71 $22.30 15
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 14 37 $37.14 14
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 13 91 $85.97 13

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: 2020-10-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OR PA201167

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.

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: Oregon Medical Board.
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

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20201020001776

Enrollment State Jurisdiction

OR

PECOS Control ID

2860812419

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.

13 listed
Dr. Kate Bayliss , MD, PhD

Emergency Medicine

NPI 1194229146

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Neil Bourjaily , PA-C

Physician Assistant

NPI 1942661426

Physician Assistant (Certified)

Dr. Bart Bruns , MD

Anesthesiology

NPI 1881620839

Doctor of Medicine (M.D.)

NPI 1962694802

Doctor of Medicine (M.D.)

Dr. Mohammed Halabiya , MD

Internal Medicine - Pulmonary Disease

NPI 1972027191

Doctor of Medicine (M.D.)

NPI 1366871493

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Physician Assistant (license number reported to NPPES: OR PA201167)

โœ…
NPI Profile Active September 01, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 01, 2020

Registered at 2700 NW STEWART PKWY, ROSEBURG, OR 974711281 (Tel: 5416730611)

๐Ÿ“
Business Mailing Address (Initial Record) September 01, 2020

Registered at 2971 INTERSTATE AVE, ARCO, ID 832138705 (Tel: 8013675004)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 01, 2020

Recorded as JACOB WATTERS

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2020

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration September 01, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609480359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2020
Last Update: October 01, 2020
Sole Proprietor: No

Other Physician Assistants in Roseburg

All Physician Assistants in Roseburg

Mailing Address

2971 Interstate Ave

Arco, ID 832138705

Phone: 8013675004

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.