Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003813478 Individual Practitioner Male Practitioner

Dr. Kevin Ray Buckwalter , MD

General Practice • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Buckwalter, MD is a registered healthcare professional specializing in General Practice in Las Vegas, NV. Practice services are available at 7151 CASCADE VALLEY CT STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, application of mechanical traction to, therapy procedure using functional activities. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7151 Cascade Valley Ct Ste 200

Las Vegas, NV 891280498

Telephone 7025688450
Fax 7025688451
Associated Practice Facility / Clinic
🏢 Mountain View Pain Management Facility NPI 1619452968

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
46 Specialists

Practicing in Las Vegas, NV (89 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
6,370 127 $67.00 $23.69
97012 Application of mechanical traction to 1 or more areas
1,863 126 $35.00 $11.98
97530 Therapy procedure using functional activities
1,770 123 $73.00 $39.95
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
1,736 123 $35.00 $10.78
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
830 152 $250.00 $60.22
36415 Insertion of needle into vein for collection of blood sample
821 150 $50.00 $2.94
64450 Injection of anesthetic agent, other peripheral nerve or branch
808 149 $169.79 $45.14
20926 Tissue graft
750 142 $940.00 $425.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
227 227 $225.00 $108.13
99213 Established patient office or other outpatient visit, typically 15 minutes
209 144 $152.00 $72.86
20553 Injection of trigger points, 3 or more muscles
103 16 $140.00 $31.98
20610 Aspiration and/or injection of fluid from large joint
36 11 $130.00 $30.27
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
26 22 $15.00 $2.07

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NV 8476

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License CA A63401

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Surgery

NUCC Taxonomy Code: 208600000X

State License CA A63401

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.

General Practice

NUCC Taxonomy Code: 208D00000X

State License CA A63401

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
A63401 (CA)
Commercial Insurance / Payer ID License
8476 (NV)
Commercial Insurance / Payer ID Mcare Ptan
00A634010 (CA)

Secondary Practice Locations

1280 Monument Blvd, # 1

Concord, CA 945204405

Phone: 9167336993

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1073631693

Doctor of Chiropractic

Tao Bon

Physical Therapist

NPI 1336503713
Dr. Graham Wilson , MD

General Practice

NPI 1386739696

Doctor of Medicine (M.D.)

NPI 1902057854

Doctor of Chiropractic

Timothy Alejo

Physical Therapist

NPI 1942743737
Dr. Jeremy Bustanoby , DPT

Physical Therapist

NPI 1962831214

Doctor of Physical Therapy

Career & Practice History Timeline

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

16 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 7151 CASCADE VALLEY CT STE 200, LAS VEGAS, NV 891280498 (Tel: 7025688450)

📍
Updated Business Mailing Address March 17, 2018

Registered at 1280 MONUMENT BLVD, # 1, CONCORD, CA 945204405 (Tel: 9167336993)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as KEVIN BUCKWALTER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Family Medicine (License #A63401 in CA)

NPI Profile Active November 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2017

Registered at 7151 CASCADE VALLEY CT STE 200, LAS VEGAS, NV 891280498 (Tel: 7025688450)

📍
Updated Business Mailing Address November 07, 2017

Registered at 1280 MONUMENT BLVD, # 1, CONCORD, CA 945204405 (Tel: 9167336993)

👤
Provider Name / Credentials Updated November 07, 2017

Recorded as KEVIN BUCKWALTER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2017

Family Medicine (License #A63401 in CA)

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2016

Registered at 1280 MONUMENT BLVD, # 1, CONCORD, CA 945204405 (Tel: 9167336993)

📍
Updated Business Mailing Address November 14, 2016

Registered at 1280 MONUMENT BLVD, # 1, CONCORD, CA 945204405 (Tel: 9167336993)

👤
Provider Name / Credentials Updated November 14, 2016

Recorded as KEVIN BUCKWALTER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Family Medicine (License #A63401 in CA)

🟢
Initial NPI Registration & Enumeration June 30, 2005

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: 1003813478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2005
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

1280 Monument Blvd, # 1

Concord, CA 945204405

Phone: 9167336993

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.