KEVIN CORR WALL
NPI 1376003350
Orthopaedic Surgery in Chester, VA

Q: What is Kevin Wall's NPI number?

The NPI number for Kevin Wall is 1376003350. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Kevin Wall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Wall was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment

13048 RIVERS BEND RD, CHESTER, VA 23836(804) 526-5888(804) 828-4762 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Jun 6, 2024, May 9, 2024 (3 updates tracked since 2024).

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About Kevin Corr Wall NPPES

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

KEVIN CORR WALL (NPI 1376003350) is an individual orthopaedic surgery provider in Chester, Virginia, licensed in Virginia (0101286887) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains a secondary practice location in Colonial Heights.

NPPES Registry Identity

NPI1376003350

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameKEVIN CORR WALL

Location Address13048 RIVERS BEND RDChester, VA 23836-2564

Mailing Address1200 E Broad St Fl 9Richmond, VA 23298-5025

Phone(804) 526-5888

Fax(804) 828-4762

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2019

Enumeration DateMarch 25, 2019

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1376003350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in VA · 0101286887✔ Licensed in MA · 1017961

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

13048 RIVERS BEND RD, Chester, VA 23836

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Secondary Practice Location 1

Location 1131 Jennick DrColonial Heights, VA 23834-4905 · Phone (804) 526-5888 · Fax (804) 828-4762

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Corr Wall 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 ID5395086516

PECOS Enrollment IDI20240806004564, I20251002004423

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490032

LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County

Emergency services Birthing friendly

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23836 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 6

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

MRS. DAWN TAMMY SNOW DPT

Physical Therapist