Dr. John Kelly Wachira, MD

  • Jacksonville, FL
  • Pulmonologist
NPI1659699122PAC ID3375784531
Medicare services, 2024
1,989
Medicare patients, 2024
495
Part D claims, 2024
1,480
Publications
5
MIPS score, 2024
92
Practice address
1325 San Marco Blvd, Jacksonville, FL 32207
Practice phone
Call (904) 253-6910
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Respiratory Critical Care and Sleep Medicine Associates,Inc

Jacksonville, Florida

See all 6 affiliations

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Dr. John Kelly Wachira is a pulmonologist in Jacksonville, Florida

Dr. Wachira practices at Respiratory Critical Care and Sleep Medicine Associates,Inc in Jacksonville, Florida.

Dr. Wachira's NPI, 1659699122, was assigned on May 9, 2010. Dr. Wachira graduated from International American University - College of Medicine in 2009. Dr. Wachira holds Florida license ME131813.

NPI and contact details
Medicare PAC ID
3375784531
NPI enumeration date
May 9, 2010
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(904) 253-6910
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
43
Medical school graduation
2009

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. John Kelly Wachira practices at Respiratory Critical Care and Sleep Medicine Associates,Inc in Jacksonville, Florida

Dr. Wachira's primary practice is Respiratory Critical Care and Sleep Medicine Associates,Inc, at 1325 San Marco Blvd, Jacksonville, FL 32207 in Duval County. The practice phone is (904) 253-6910.

  • Respiratory Critical Care and Sleep Medicine Associates,Inc
    1325 San Marco Blvd, Jacksonville, FL 32207 · Duval CountyPhone(904) 253-6910

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. John Kelly Wachira is affiliated with 5 sites of care and 1 medical group

Dr. Wachira's primary practice is Respiratory Critical Care and Sleep Medicine Associates,Inc in Jacksonville, Florida. Dr. Wachira is also affiliated with Baptist Medical Center Jacksonville. The medical group on file is Respiratory Critical Care and Sleep Medicine Assoc. Dmand AI also links Dr. Wachira to 2 more hospitals and 1 group practice or clinic, each named with a free account.

See all 6 affiliations for Dr. Wachira

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. John Kelly Wachira's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Wachira practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Respiratory Critical Care and Sleep Medicine Associates,IncAvailable with a free account
+4 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. John Kelly Wachira is one of 934 pulmonologists in Florida

Pulmonary disease is Dr. Wachira's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Wachira is board certified in critical care medicine by the American Board of Internal Medicine. Dmand AI has Dr. Wachira's licenses on file in 2 states: Florida and Nebraska.

Specialties and state licenses

  • Pulmonary disease, FloridaPrimaryLicense ME131813 · 2017 to 2027 · taxonomy 207RP1001X
  • Specialist, NebraskaLicense 7270 · taxonomy 174400000X

Clinical focus

Dmand AI lists asthma, chronic lung disease, chronic obstructive pulmonary disease (COPD), chronic respiratory failure, hypersomnia, pulmonary heart disease, sleep apnea and tobacco use among the conditions Dr. Wachira treats.

Pulmonologists near Dr. Wachira

Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. John Kelly Wachira billed Medicare for 1,989 services in 2024

CMS data shows 1,989 Medicare services from Dr. Wachira across 22 procedure codes in 2024, for 495 Medicare patients. Medicare paid $135,176 for them.

Medicare services, 20241,989
Medicare patients495
Paid by Medicare$135,176
Procedure codes22

Dr. Wachira's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,3312024: 1,47911%
Other services
2023: 02024: 368
Tests and treatments
2023: 1882024: 11539%
Surgery
2023: 02024: 27

Where Dr. Wachira's Medicare services took place, 2024

  • In an office1,44272%
  • In a facility54728%

Dr. Wachira compared with the Florida median for pulmonologists, 2024

  • Dr. Wachira
  • Florida median
Medicare services
1,989vs 1,00299% above
Medicare patients
495vs 40821% above
Part D claims
1,297vs 6372.0 times

Medians across 895 pulmonologists in Florida with Dmand AI profiles that report each measure.

Dr. Wachira's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Wachira

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Wachira and other pulmonologists in Florida.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. John Kelly Wachira treated 495 Medicare patients in 2024, average age 75

CMS counts 495 Medicare patients who saw Dr. Wachira in 2024. The largest group is 75 to 84, with 204 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 9% are also on Medicaid. Their average risk score is 2.22, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Wachira's median patient age at 68, with 56% women.

Medicare patients, 2024495
Average age75
Average risk score2.22
Also on Medicaid9%

Dr. Wachira's Medicare patients by age, 2024

Dr. Wachira's Medicare patients by sex, 2024

  • Women27255%
  • Men22345%

Chronic conditions among Dr. Wachira's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease60%
  4. Arthritis59%
  5. COPD55%
  6. Diabetes46%
  7. Chronic kidney disease45%
  8. Heart failure44%

Share of Medicare patients with each condition. A patient can have several.

Dr. Wachira's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 68

Patient panel by sex, all payers

  • Women56%
  • Men43%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. John Kelly Wachira wrote 1,480 Medicare Part D claims in 2024

In 2024, Dr. Wachira wrote 1,480 Medicare Part D claims for 275 patients. 52% of them were for generic drugs. CMS names the drug for 1,297 of them, across 25 drugs with 11 or more claims each, at $1,136,753 in total drug cost. In 2023, CMS named 1,036 claims across 23 drugs.

Part D claims, 20241,480
Drugs named by CMS25
Total drug cost$1.1M
Part D patients275

Dr. Wachira's Part D claims by kind of drug, 2024

  • Generic773 claims52%
  • Brand-name707 claims48%

Dr. Wachira's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Wachira's Part D claims, 2024

  • Antibiotics13%192 of 1,480 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,0362024: 1,29725%

Drugs named by CMS: 25 in 2024, 23 in 2023.

See all prescribing by Dr. Wachira

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. John Kelly Wachira scored 92 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 92 out of 100 for Dr. Wachira for performance year 2024, reported as part of a group. Dr. Wachira accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Wachira's MIPS scores, performance year 2024

  • 92of 100Final score
  • 85.7of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 78of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. John Kelly Wachira has 5 publications on record

Dmand AI links 5 papers to Dr. Wachira in 2014. 2014 was the busiest year, with 2. The most frequent topics are Diagnosis, Differential. Dr. Wachira has published most often in S D Med. Dr. Wachira's most frequent co-author is Kelly Rhone, MD.

Papers5

Topics Dr. Wachira writes about most

  • Diagnosis, Differential

Dr. Wachira's most frequent co-authors

Recent publications by Dr. Wachira

See all 5 publications and co-authors

See who Dr. Wachira researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Wachira works with, so you can find a warm path to the right pulmonologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. John Kelly Wachira received $15,033 in industry payments from 2016 to 2025

CMS Open Payments shows 490 general payments to Dr. Wachira from 46 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 78% of the total. Abiomed paid the most, $2,412.

General payments to Dr. Wachira by program year, 2016 to 2025

General payments to Dr. Wachira by kind, 2016 to 2025

$15Kin total
  • Food and beverage$11,71978%
  • Travel and lodging$3,29722%
  • Gifts$100%
  • Education$80%

Companies that paid Dr. Wachira the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Wachira

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. John Kelly Wachira graduated from International American University - College of Medicine

Dr. Wachira graduated from International American University - College of Medicine in 2009.

  1. Medical schoolInternational American University - College of Medicine
  2. Board certified in critical care medicineAmerican Board of Internal Medicine
  3. Board certified in pulmonary diseaseAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. John Kelly Wachira accepts plans from 17 insurance carriers

Dr. Wachira is in network with 17 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • HCSC
  • Humana
  • Aspirus Health Plan
  • Blue Cross Blue Shield of Massachusetts
  • +9 more carriersWith a free account

Plan types Dr. Wachira accepts, by number of carriers

  1. PPO10
  2. Medicare9
  3. HMO8
  4. POS5
  5. EPO4
  6. Medicaid2

Source: Dmand AI Insurance Network Data

Sources for Dr. John Kelly Wachira's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. John Kelly Wachira

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. John Kelly Wachira's NPI number?

Dr. John Kelly Wachira's NPI number is 1659699122. It was assigned on May 9, 2010, and it is active in the NPI Registry.

What kind of doctor is Dr. John Kelly Wachira?

Dr. John Kelly Wachira is a pulmonologist in Jacksonville, Florida. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).

Where does Dr. John Kelly Wachira practice?

Dr. Wachira practices at 1325 San Marco Blvd, Jacksonville, FL 32207. Dr. Wachira's primary practice is Respiratory Critical Care and Sleep Medicine Associates,Inc in Jacksonville, Florida. Dmand AI also links Dr. Wachira to 2 hospitals and 1 group practice or clinic.

What is Dr. John Kelly Wachira's office phone number?

The practice phone on file for Dr. Wachira is (904) 253-6910.

What is Dr. John Kelly Wachira's medical license number?

Dr. Wachira holds Florida license ME131813, one of the licenses on file in 2 states.

Which states has Dr. John Kelly Wachira been licensed in?

Dmand AI has state licenses on file for Dr. Wachira in Florida (2017 to 2027) and Nebraska.

Which hospitals is Dr. John Kelly Wachira affiliated with?

Dr. Wachira is affiliated with Baptist Medical Center Jacksonville. Dmand AI links Dr. Wachira to 2 more hospitals.

What medical group is Dr. John Kelly Wachira part of?

Dr. Wachira is linked to Respiratory Critical Care and Sleep Medicine Assoc.

Does Dr. John Kelly Wachira accept Medicare?

Yes. CMS data shows Dr. Wachira billed Medicare for 1,989 services in 2024, and Dr. Wachira accepts Medicare assignment.

What is Dr. John Kelly Wachira's MIPS score?

Dr. Wachira's MIPS final score for performance year 2024 is 92 out of 100, reported as part of a group.

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. John Kelly Wachira see?

CMS counts 495 Medicare patients who saw Dr. Wachira in 2024, with an average age of 75.

Is Dr. John Kelly Wachira board certified?

Yes. Dr. Wachira is board certified in critical care medicine by the American Board of Internal Medicine.

What services does Dr. John Kelly Wachira bill to Medicare?

In 2024, Dr. Wachira's most billed Medicare services were medicare service (G2211), office visit, established patient (99214) and hospital inpatient care (99233).

Where did Dr. John Kelly Wachira go to medical school?

Dr. Wachira graduated from International American University - College of Medicine in 2009.

What drugs does Dr. John Kelly Wachira prescribe most?

In 2024 Medicare Part D data, Dr. Wachira's most prescribed drugs by claims were Prednisone, Albuterol Sulfate Hfa and Trelegy Ellipta.

Has Dr. John Kelly Wachira received payments from drug or device companies?

CMS Open Payments shows $15,033 in general payments to Dr. Wachira from 46 companies from 2016 to 2025. The largest total came from Abiomed.

How long has Dr. John Kelly Wachira been practicing?

Dr. Wachira graduated from medical school in 2009, 17 years ago.

Does Dr. John Kelly Wachira do research?

Dmand AI links 5 publications to Dr. Wachira.

Who does Dr. John Kelly Wachira publish with?

Dr. Wachira's most frequent co-authors are Kelly Rhone, MD (1 shared paper).

What insurance does Dr. John Kelly Wachira accept?

Dr. Wachira is in network with 17 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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