Jeremy Gaylon Waldie, PA-C
NPI 1043546534ActiveIndividual· Physician Assistant· Salem, OR
Physician Assistant (PA-C) with Icco LLC, practicing in Salem, Oregon. Their prescriptions cost Medicare Part D more than their services did: $16,599 for 623 claims, against $9,086 paid for services in 2024. Exact Sciences Corporation reported $24.77 in payments in 2025, mostly food and beverage. Lists Salem Health West Valley as a hospital affiliation.
Overview
| NPI | 1043546534 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 19, 2009 |
| Last updated in NPPES | Feb 13, 2020 |
| Certified by provider | Feb 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA165500 | OR |
| Physician Assistant, Medical | 363AM0700X | PA60120298 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 109 |
|---|---|
| Services billed | 181 across 35 procedure codes |
| Paid by Medicare | $9,086 |
Part D prescriptions in 2024
| Prescriptions (claims) | 623 · 643 30-day fills |
|---|---|
| Patients | 388 |
| Total drug cost | $16,599 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Icco LLCEugene, OR · 135 clinicians
Hospital affiliation
- Salem Health West ValleyDallas, OR
Industry payments (Open Payments)
- 2025$24.77 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $24.77 | 1 |
What the 2025 payments were for
- Food and Beverage$24.77 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 131 physician assistants in Salem · All physician assistants in Oregon