Thomas Waller, MD
NPI 1629066857 · Family Medicine Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Waller, MD is a Family Medicine Physician provider in Jacksonville, FL (NPI 1629066857).
Provider details
- NPI number
- 1629066857
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME74184 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,129 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 344 | $124 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 258 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 152 | $88 |
| Admn Sarscov2 Vacc 1 Dose90480 | 128 | $42 |
| Administration of Influenza Virus VaccineG0008 | 97 | $32 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 209 | 67 |
| Amlodipine Besylate | 122 | 39 |
| Losartan Potassium | 92 | 28 |
| Rosuvastatin Calcium | 59 | 17 |
| Levothyroxine Sodium | 55 | 18 |
| Metoprolol Succinate | 42 | 15 |
| Apixaban |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$447 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 2020-08-28
- Certified
- 2020-08-28
Frequently asked questions
- What is Thomas Waller's NPI number?
- Thomas Waller's National Provider Identifier (NPI) is 1629066857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Waller's specialty?
- Thomas Waller is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Waller located?
- Thomas Waller's practice location on file with NPPES is 4500 San Pablo Rd S, Jacksonville, FL 32224-1865.
- What is Thomas Waller's phone number?
- The practice phone number listed in the NPPES registry for Thomas Waller is (904) 953-2000.
- Does Thomas Waller accept Medicare?
- Thomas Waller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Waller's NPI active?
- Yes — Thomas Waller's NPI (1629066857) is active in the NPPES registry as of the last update on 2020-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.