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DR. PAUL KENNETH WALTZ II M.D.
NPI 1235425034
Surgery in Pittsburgh, PA

Active since June 21, 2011PECOS Enrolled
77.5/100
CMS Quality Rating
4401 PENN AVE FL 7, PITTSBURGH, PA 15224(412) 692-8222 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Kenneth Waltz Ii M.d. NPPES

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

DR. PAUL KENNETH WALTZ II M.D. (NPI 1235425034) is an individual surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT199968) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235425034
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. PAUL KENNETH WALTZ IICredential: M.D.
Location Address4401 PENN AVE FL 7Pittsburgh, PA 15224-1334
Mailing Address4401 Penn Ave Fl 7Pittsburgh, PA 15224-1334 · (717) 350-3254
Phone(412) 692-8222
Sole ProprietorNo
Enumeration DateJune 21, 2011
Last NPPES UpdateApril 16, 2021
NPPES CertifiedApril 16, 2021
✔ NPI 1235425034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MT199968
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.
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License MD452138 (PA)
4401 PENN AVE FL 7, Pittsburgh, PA 15224
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Kenneth Waltz Ii M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES

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

SARAH ASHLEY MEIER AUD
Audiologist
4401 PENN AVE FL 7
PITTSBURGH, PA 15224
Allegheny County (412) 692-5486

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 Paul Waltz's NPI number?

The NPI number for Paul Waltz is 1235425034. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Paul Waltz located?

Paul Waltz practices at 4401 Penn Ave Fl 7, Pittsburgh, PA 15224. The listed phone number is (412) 692-8222.

What is Paul Waltz's specialty?

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

Is Paul Waltz enrolled in Medicare?

Yes. Paul Waltz is registered in the Medicare PECOS enrollment system.

What insurance does Paul Waltz accept?

Health plans from CareSource list Paul Waltz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Waltz was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.