Active NPI 1194827295 Individual Practitioner Male Practitioner

Dr. David Michael Walborn , MD

Surgery • Kenmore, NY

Professional Overview & Biography Verified Profile Summary

Dr. David Walborn, MD is a registered healthcare professional specializing in Surgery in Kenmore, NY. Practice services are available at 893 COLVIN BLVD under active NPI credentials.

Frequently performed procedures and clinical services include removal of tissue from wound, 20.0 sq cm or less, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

893 Colvin Blvd

Kenmore, NY 142172423

Telephone 7168734406

Fax 7168734420

Associated Practice Facility / Clinic

🏢 David M. Walborn Md Pc Facility NPI 1508966912

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kenmore, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 41.0 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Kenmore, NY (2269 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.4% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	83	11	$125.00	$33.50
99213 Established patient office or other outpatient visit, typically 15 minutes	22	13	$100.00	$62.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	62	13	$125.00	$34.14
99213 Established patient office or other outpatient visit, typically 15 minutes	39	18	$98.08	$63.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$200.00	$79.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	89	21	$200.00	$56.54
97597 Removal of tissue from wound, 20.0 sq cm or less	54	16	$107.67	$35.40
99213 Established patient office or other outpatient visit, typically 15 minutes	43	17	$85.00	$65.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	15	$90.00	$35.32
11042 Removal of skin and tissue, 20.0 sq cm or less	34	15	$200.00	$123.97
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	29	11	$275.00	$148.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	47	11	$200.00	$58.05
99213 Established patient office or other outpatient visit, typically 15 minutes	41	13	$85.00	$66.31
97597 Removal of tissue from wound, 20.0 sq cm or less	37	11	$99.00	$35.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	57	11	$150.00	$42.49
29580 Strapping, unna boot	32	15	$114.06	$38.81
99221 Initial hospital inpatient care per day, typically 30 minutes	28	22	$150.00	$97.37
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	11	$155.00	$125.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
29580 Strapping, unna boot	741	75	$244.60	$45.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	166	55	$89.20	$23.89
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$98.48	$47.39
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$150.00	$91.49

Medical Specialties & State Licenses

CMS Verified: 2022-09-22

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 183082

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

01257914 (NY)

Commercial Insurance / Payer ID Univera

00010185504

Commercial Insurance / Payer ID Iha

1703730

Commercial Insurance / Payer ID Fidelis

071227000043

Commercial Insurance / Payer ID Blue Cross

000511107004 (NY)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 02, 2014

Registered at 893 COLVIN BLVD, KENMORE, NY 142172423 (Tel: 7168734406)

📍

Updated Business Mailing Address April 02, 2014

Registered at 893 COLVIN BLVD, KENMORE, NY 142172423 (Tel: 7168734406)

👤

Provider Name / Credentials Updated April 02, 2014

Recorded as DAVID WALBORN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2014

Surgery (License #183082 in NY)

🟢

Initial NPI Registration & Enumeration September 01, 2006

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: 1194827295

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 01, 2006

Last Update: September 22, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

893 Colvin Blvd

Kenmore, NY 142172423

Phone: 7168734406

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.