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Jared Waters

Physician Assistant β€’ Roanoke, VA

Active NPI 1023701927 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

5673 Airport Rd
Roanoke, VA 240121119

Call 5405238080 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

5673 Airport Rd

Roanoke, VA 240121119

Telephone 5405238080
Organization at the Same NPPES Address or Phone
Intercept Youth Services, Inc. Facility NPI 1932334000

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Henrico, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Intercept Youth Services 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

Medical School

University Of Florida College Of Medicine

Graduation Year

2023

30-day fills

830 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

$41,159 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 – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $13.92 in 2025

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 2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional 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

2023

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.

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jared Waters 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 Jared Waters 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 Roanoke and Virginia

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Roanoke, VA (2024, 127 clinicians with data). Median for this group: 237. Middle half: 69 to 681.

More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: 247. Middle half: 75 to 708.

Part D drug cost

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Roanoke, VA (2024, 127 clinicians with data). Median for this group: $3,519. Middle half: $465 to $62,513.

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: $3,441. Middle half: $640 to $57,211.

299 active clinicians are listed under Physician Assistant with a practice address in Roanoke, VA (4,411 in Virginia).

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

Telehealth indicator in Roanoke

13% of these 299 clinicians have the CMS telehealth indicator.

55.5% of these 299 clinicians are listed by CMS as accepting Medicare assignment.

Sources: 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 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 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $13.92.

Manufacturer Payment Nature Product Type Amount ($)
Indivior Inc.
Food and Beverage
In-kind items and services
SUBLOCADE General $13.92

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Quetiapine Fumarate Quetiapine Fumarate 65 2,774 $550.64 15
Clonazepam Clonazepam 48 1,401 $297.67 β€”
Hydroxyzine Hcl Hydroxyzine Hcl 48 1,690 $747.27 11
Alprazolam Alprazolam 38 1,125 $336.66 β€”
Duloxetine Hcl Duloxetine Hcl 34 2,100 $553.99 β€”
Clonidine Hcl Clonidine Hcl 33 1,824 $140.86 β€”
Aripiprazole Aripiprazole 28 1,290 $2,253.33 β€”
Buspirone Hcl Buspirone Hcl 26 745 $120.66 β€”
Diazepam Diazepam 25 734 $114.85 β€”
Temazepam Temazepam 22 690 $707.04 β€”
Venlafaxine Hcl Er Venlafaxine Hcl 19 1,110 $301.08 β€”
Ziprasidone Hcl Ziprasidone Hcl 19 570 $251.32 β€”
Fluoxetine Hcl Fluoxetine Hcl 18 1,320 $462.34 β€”
Sertraline Hcl Sertraline Hcl 17 810 $66.60 β€”
Bupropion Xl Bupropion Hcl 16 1,304 $612.02 β€”
Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine 16 480 $287.43 β€”
Escitalopram Oxalate Escitalopram Oxalate 15 762 $98.09 β€”
Lorazepam Lorazepam 15 425 $41.72 β€”
Trazodone Hcl Trazodone Hcl 15 630 $260.83 β€”
Quetiapine Fumarate Er Quetiapine Fumarate 14 840 $426.16 β€”
Desvenlafaxine Succinate Er Desvenlafaxine Succinate 14 540 $541.79 β€”
Trintellix Vortioxetine Hydrobromide 13 390 $6,327.25 β€”
Vraylar Cariprazine Hcl 13 390 $17,462.08 β€”
Alprazolam Er Alprazolam 11 330 $160.05 β€”
Concerta Methylphenidate Hcl 11 330 $8,037.76 β€”

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: 2023-08-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES VA 0110009479

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: Virginia Department of Health Professions.
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

I20231108003942

Enrollment State Jurisdiction

VA

PECOS Control ID

7911354162

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Intercept Youth Services Inc

5673 Airport Rd, Roanoke, VA 240121119

Phone: 5405238055

Secondary Practice Locations

5500 Staples Mill Rd

Henrico, VA 232285423

Phone: 5405238080

Clinicians Sharing This Practice Address or Phone

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

5 listed
Jenna Crozier

Physician Assistant

NPI 1871093401
David Hungate , PA

Physician Assistant

NPI 1922021625

Physician Assistant

Abigail Ledford , PA-C

Physician Assistant

NPI 1932816642

Physician Assistant (Certified)

Bryan Lesniewicz , PA-C

Physician Assistant

NPI 1760163133

Physician Assistant (Certified)

Mary Vandergrift , PA-C

Physician Assistant

NPI 1518041722

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location August 17, 2023

Registered at 5673 AIRPORT RD, ROANOKE, VA 240121119 (Tel: 5405238080)

πŸ“
Updated Business Mailing Address August 17, 2023

Registered at 3111 GRAYLAND AVE, RICHMOND, VA 232213527

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2023

Physician Assistant (license number reported to NPPES: VA 0110009479)

βœ…
NPI Profile Active May 29, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 29, 2023

Registered at 2709 HOLLY RD, VIRGINIA BEACH, VA 234514074 (Tel: 7576525015)

πŸ“
Business Mailing Address (Initial Record) May 29, 2023

Registered at 2709 HOLLY RD, VIRGINIA BEACH, VA 234514074

πŸ‘€
Provider Name / Credentials (Initial Record) May 29, 2023

Recorded as JARED WATERS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 29, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023701927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2023
Last Update: August 17, 2023
Sole Proprietor: Yes

Other Physician Assistants in Roanoke

All Physician Assistants in Roanoke

More public profiles in Virginia

Directory navigation, in NPI number order.

Mailing Address

3111 Grayland Ave

Richmond, VA 232213527

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.