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DAVID MICHAEL WALBORN MD
NPI 1194827295
Surgery in Kenmore, NY

Active since September 01, 2006PECOS Enrolled
893 COLVIN BLVD, KENMORE, NY 14217(716) 873-4406(716) 873-4420 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Michael Walborn Md NPPES

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

DAVID MICHAEL WALBORN MD (NPI 1194827295) is an individual surgery provider in Kenmore, New York, licensed in New York (183082) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194827295
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDAVID MICHAEL WALBORNCredential: MD
Location Address893 COLVIN BLVDKenmore, NY 14217-2423
Mailing Address893 Colvin BlvdKenmore, NY 14217-2423 · (716) 873-4406 · Fax (716) 873-4420
Phone(716) 873-4406
Fax(716) 873-4420
Sole ProprietorYes
Enumeration DateSeptember 1, 2006
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1194827295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 183082
Definition
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.
893 COLVIN BLVD, Kenmore, NY 14217
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Other Identifiers 5

Other00010185504Univera
Other1703730Iha
Other071227000043Fidelis
Other000511107004NY · Blue Cross
Medicaid01257914NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Michael Walborn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show David Walborn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaleida Health
3.1 mi
General Acute Care Hospital
3 GATES CIR
Buffalo, NY 14209
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1831229780 (716) 887-4600
David M. Walborn MD PC
4.2 mi
General Practice
445 TREMONT ST
North Tonawanda, NY 14120
  • Reassigned Medicare billing, New York enrollment
NPI 1508966912 (716) 873-4406

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 2

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.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
83 services11 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.
22 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 David Walborn's NPI number?

The NPI number for David Walborn is 1194827295. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is David Walborn located?

David Walborn practices at 893 Colvin Blvd, Kenmore, NY 14217. The listed phone number is (716) 873-4406.

What is David Walborn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Walborn enrolled in Medicare?

Yes. David Walborn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Walborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Walborn reassigns Medicare benefits to 2 organizations: Kaleida Health (Buffalo, NY) and David M. Walborn MD PC (North Tonawanda, NY). Each 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 David Walborn'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 David Walborn was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.