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DR. BRIAN J WALDRON DO
NPI 1093785651
Neuromusculoskeletal Medicine & OMM in New York, NY

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
61 BROADWAY, STE 910, NEW YORK, NY 10006(212) 344-5361(212) 514-5460 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brian J Waldron Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN J WALDRON DO (NPI 1093785651) is an individual neuromusculoskeletal medicine & omm provider in New York, New York, licensed in New York (167350) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1093785651
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameDR. BRIAN J WALDRONCredential: DO
Location Address61 BROADWAY, STE 910New York, NY 10006-2736
Mailing Address61 Broadway, Ste 910New York, NY 10006-2736 · (212) 344-5361 · Fax (212) 514-5460
Phone(212) 344-5361
Fax(212) 514-5460
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJanuary 27, 2014
✔ NPI 1093785651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in NY · 167350
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 1673501 (NY)
61 BROADWAY, New York, NY 10006
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA64582
Medicare ID-Type UnspecifiedBW032E5310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian J Waldron Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345365128
PECOS Enrollment IDI20100916000953
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brian Waldron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Osteopathy, PLLC
0.2 mi
Family Medicine
40 EXCHANGE PL STE 1704
New York, NY 10005
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1376864348 (212) 344-5361

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Osteopathic manipulative treatment, 9-10 body regions 98929
Osteopathic Manipulative Treatment (OMT) involves hands-on care. In a 9-10 body regions procedure, a doctor manipulates muscles and joints using techniques like stretching, gentle pressure, and resistance to improve health and wellness. It's often used to ease pain, promote healing, and increase overall mobility.
934 services175 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
867 services160 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
99 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
42 services27 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
22 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%179 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%176 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%111 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAITHILEE SANJEEV KADAM M.S
Physical Therapist
61 BROADWAY, SUITE 2824
NEW YORK, NY 10006
New York County (212) 981-1977
NIDHI NANDAKUMAR
Physical Therapist
61 BROADWAY, STE. 2824
NEW YORK, NY 10006
New York County (212) 981-1977
JENNIFER ESPLANA
Physical Therapist
61 BROADWAY, SUITE 2824
NEW YORK, NY 10006
New York County (212) 981-1977
ERNEST RICHARD FABROS
Physical Therapist
61 BROADWAY, STE. 2824
NEW YORK, NY 10006
New York County (212) 981-1977
DR. SCOTT ANDREW MARK DC
Chiropractor
61 BROADWAY, SUITE 900
NEW YORK, NY 10006
New York County (212) 248-0077
RATI MADAN MPT
Physical Therapist
61 BROADWAY, SUITE 2824
NEW YORK, NY 10006
New York County (212) 981-1977
TANYA WERTENTHEIL
Occupational Therapist
61 BROADWAY, STE. 2824
NEW YORK, NY 10006
New York County (212) 981-1977
ANNA MASON-MACKAY
Physical Therapist
61 BROADWAY, STE.2824
NEW YORK, NY 10006
New York County (212) 981-1977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Waldron's NPI number?

The NPI number for Brian Waldron is 1093785651. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Brian Waldron located?

Brian Waldron practices at 61 Broadway Ste 910, New York, NY 10006. The listed phone number is (212) 344-5361.

What is Brian Waldron's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Brian Waldron enrolled in Medicare?

Yes. Brian Waldron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brian Waldron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Waldron reassigns Medicare benefits to New York City Osteopathy, PLLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Waldron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Waldron was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.