Doctor profile · Federal record

Dr. Kimberly Waller, PA-C

Physician Assistant · Medical Physician Assistant · Grants Pass, OR

  • NPI 1093782914
  • Accepts Medicare
  • 29 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1701 Nw Hawthorne Ave
Grants Pass, OR 975261051
(541) 471-3455

Credentials & registration

NPPES · NUCC
NPI registered
March 2006 — 20 yrs on file
Profile last updated
October 28, 2019
Year of graduation
1997 — 29 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
Oregon #PA01142 · Nevada #PA842
Medicaid (2)
NV #100503581 · NV #100503226

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1093782914. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
120
Distinct HCPCS
4
Medicare allowed
$859
HCPCS Description Services Patients Avg allowed
80053 Blood test, comprehensive group of blood chemicals 33 30 $10
82044 Urine microalbumin (protein) analysis 30 27 $6
82570 Creatinine level to test for kidney function or muscle injury 29 27 $5
83036 Hemoglobin a1c level 28 26 $9

In context: peer comparison

Among 13 peers in Grants Pass Physician Assistant, average services per provider: 104. This provider delivers 1.2× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,619
Patients
425
Total drug cost
$1,141,708
Drug Type Claims Patients Total cost
Jardiance (Empagliflozin) Brand 197 54 $254,281
Trulicity (Dulaglutide) Brand 197 32 $233,779
Levothyroxine Sodium Generic 176 46 $2,394
Metformin Hcl Generic 163 50 $1,933
Novolog Flexpen (Insulin Aspart) Brand 140 37 $103,863
Glipizide Generic 103 33 $1,355
Toujeo Max Solostar (Insulin Glargine,Hum.Rec.Anlog) Brand 96 15 $141,834
Lantus Solostar (Insulin Glargine,Hum.Rec.Anlog) Brand 90 41 $52,576
Ozempic (Semaglutide) Brand 81 12 $106,170
Semglee (Yfgn) Pen (Insulin Glargine-Yfgn) Brand 73 21 $36,145

Frequently asked questions

Auto-generated from federal data
What is Dr. Kimberly Waller's medical specialty?
Dr. Kimberly Waller practices Physician Assistant in Grants Pass, OR.
Where does Dr. Kimberly Waller practice?
Dr. Kimberly Waller practices at 1701 Nw Hawthorne Ave, Grants Pass, OR 975261051. Office phone: 5414713455.
What is Dr. Kimberly Waller's NPI?
Dr. Kimberly Waller's National Provider Identifier (NPI) is 1093782914, issued by NPPES.
Does Dr. Kimberly Waller accept Medicare assignment?
Yes. Dr. Kimberly Waller accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kimberly Waller commonly perform?
Top Medicare-reported procedures in 2023: Blood test, comprehensive group of blood chemicals (HCPCS 80053); Urine microalbumin (protein) analysis (HCPCS 82044); Creatinine level to test for kidney function or muscle injury (HCPCS 82570). Source: CMS Medicare Physician & Other Practitioners file.