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DR. WALTER DALE KIMBERLIN JR. D.C.
NPI 1316004781
Chiropractor in Port Ewen, NY

Active since January 03, 2007Accepts Medicare Assignment
327 BROADWAY, PORT EWEN, NY 12466(845) 331-8810(845) 331-8810 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Walter Dale Kimberlin Jr. D.c. NPPES

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

DR. WALTER DALE KIMBERLIN JR. D.C. (NPI 1316004781) is an individual chiropractor in Port Ewen, New York, licensed in New York (X009684) and active in the NPI registry since January 2007. He is a graduate of Palmer College Chiropractic - Davenport (2000).

NPPES Registry Identity

NPI1316004781
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. WALTER DALE KIMBERLIN JR.Credential: D.C.
Location Address327 BROADWAYPort Ewen, NY 12466-5501
Mailing AddressPo Box 927Port Ewen, NY 12466-0927 · (845) 331-8810 · Fax (845) 331-8810
Phone(845) 331-8810
Fax(845) 331-8810
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2000
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 3, 2012
✔ NPI 1316004781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X009684
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
327 BROADWAY, Port Ewen, NY 12466
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Other Identifiers 1

Medicare UPINU79439NY

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. Walter Dale Kimberlin Jr. D.c. 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 ID4284643578
PECOS Enrollment IDI20260826000757

Medicare Billing Reassignment

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

Vero Chiropractic PLLC
1,021 mi
Chiropractor
630 S 50TH ST
West Des Moines, IA 50265
  • Reassigned Medicare billing, Iowa enrollment
  • 10 clinicians in this Medicare group
NPI 1841731171 (515) 422-9552

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

Other Providers at the Same Location NPPES 2

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

ABUNDANT LIFE CHIROPRACTIC A CREATING WELLNESS CENTER
Chiropractor
327 BROADWAY
PORT EWEN, NY 12466
Ulster County (845) 331-8810
DR. KAYCIE A KIMBERLIN DC
Chiropractor
327 BROADWAY
PORT EWEN, NY 12466
Ulster County (845) 331-8810

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 Walter Kimberlin's NPI number?

The NPI number for Walter Kimberlin is 1316004781. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Walter Kimberlin located?

Walter Kimberlin practices at 327 Broadway, Port Ewen, NY 12466. The listed phone number is (845) 331-8810.

What is Walter Kimberlin's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Walter Kimberlin enrolled in Medicare?

Yes. Walter Kimberlin 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 Walter Kimberlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Kimberlin reassigns Medicare benefits to Vero Chiropractic PLLC (West Des Moines, IA). 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 Walter Kimberlin'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 Walter Kimberlin was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.