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Active NPI 1013180876 Individual Practitioner Male Practitioner

Dr. Kibwe Akin Weaver , MD

Surgery • Kalamazoo, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kibwe Weaver, MD is a certified Surgery practicing in Kalamazoo, MI. With approximately 22 years of clinical experience since graduating from Meharry Medical College School Of Medicine in 2004, Dr. Weaver delivers high-quality medical care to the local community at 601 JOHN ST.

Dr. Weaver maintains professional affiliations with Piedmont Providers Llc, Vidant Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 John St
Suite M-283

Kalamazoo, MI 490075341

Telephone 2694881524
Fax 2694881655
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Meharry Medical College School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kalamazoo, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs -2.1 yrs vs City Avg
City Avg: 24.1 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
46 Specialists

Practicing in Kalamazoo, MI (1479 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Weaver (22 Years) 22 Yrs
Kalamazoo Specialty Average (24.1 Years) 24.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $474.67 $127.54

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301099598

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NH T1019

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License GA 001073

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1013180876 (MI)
Commercial Insurance / Payer ID Bcbs
0203907382 (MI)

Hospital & Practice Group Affiliations

Vidant Medical Group Llc

401 N Main St, Kenansville, NC 283498801

Phone: 9102960941

Vidant Medical Group Llc

212 Smith Church Rd, Roanoke Rapids, NC 278704914

Phone: 2525371717

Vidant Medical Group Llc

417 N Main St, Kenansville, NC 283498801

Phone: 9102968080

Piedmont Providers Llc

2151 W Spring St, Monroe, GA 306553202

Phone: 7702671888

Vidant Medical Group Llc

220 Smith Church Rd, Roanoke Rapids, NC 278704914

Phone: 2525379268

Vidant Medical Group Llc

250 Smith Church Rd, Roanoke Rapids, NC 278704914

Phone: 2525358240

Vidant Medical Group Llc

401 A N Main St, Kenansville, NC 283498801

Phone: 9102960941

Secondary Practice Locations

590 Court Street, Dept Of Surgery

Keene, NH 03431

Phone: 6033545400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Amanda Walker , DO

Obstetrics & Gynecology

NPI 1003043050

Doctor of Osteopathic Medicine (D.O.)

Dr. Andrew Walker , MD

Emergency Medicine

NPI 1003344599

Doctor of Medicine (M.D.)

Justine Oudsema , PA-C

Physician Assistant

NPI 1003365396

Physician Assistant (Certified)

Ochuko Oghor , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003423237

Certified Registered Nurse Anesthetist

Dr. Eric Shay , MD

Internal Medicine

NPI 1003858770

Doctor of Medicine (M.D.)

Danielle Allman , NP

Nurse Practitioner

NPI 1013117209

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2018

Surgery (License #T1019 in NH)

NPI Profile Active October 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2014

Registered at 601 JOHN ST, SUITE M-283, KALAMAZOO, MI 490075341 (Tel: 2694881524)

📍
Updated Business Mailing Address October 10, 2014

Registered at 601 JOHN ST, BOX 42, KALAMAZOO, MI 490075341 (Tel: 2694881524)

👤
Provider Name / Credentials Updated October 10, 2014

Recorded as KIBWE WEAVER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2014

Surgery (License #4301099598 in MI)

🟢
Initial NPI Registration & Enumeration April 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013180876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2008
Last Update: September 27, 2018
Sole Proprietor: No

Mailing Address

601 John St, Box 42

Kalamazoo, MI 490075341

Phone: 2694881524

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.