Jacob Andrew Walters, PA-C
NPI 1245579200ActiveIndividual· Physician Assistant· Ozark, MO
Physician Assistant (PA-C) in Ozark, Missouri, trained at Drexel University College of Medicine (class of 2012). 250 Medicare patients in 2024, $44,336 paid; nearly all of their 83 Part D prescriptions were generic (99%). Solventum Corporation reported $22.03 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1245579200 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 11, 2013 |
| Last updated in NPPES | Aug 18, 2021 |
| Certified by provider | Aug 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2021024722 | MO |
| Physician Assistant | 363A00000X | MA055982 | PA |
| Physician Assistant, Medical | 363AM0700X | MA055982 | PA |
| Physician Assistant, Surgical | 363AS0400X | MA055982 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 250 |
|---|---|
| Services billed | 997 across 25 procedure codes |
| Paid by Medicare | $44,336 |
Part D prescriptions in 2024
| Prescriptions (claims) | 83 · 88 30-day fills |
|---|---|
| Patients | 67 |
| Total drug cost | $2,249 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | Drexel University College of Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Physician Assistant |
Medical group
- Mercy Clinic Springfield CommunitiesLebanon, MO · 1,120 clinicians
Hospital affiliations
- Mercy Hospital LebanonLebanon, MO
- Mercy Hospital SpringfieldSpringfield, MO
Industry payments (Open Payments)
- 2025$22.03 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Solventum Corporation | $22.03 | 1 |
What the 2025 payments were for
- Food and Beverage$22.03 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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