KRISTIN M WALDRON MD
NPI 1467658500
Psychiatry & Neurology - Neurology in Lynbrook, NY

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment
85.41/100
CMS Quality Rating
360 MERRICK RD FL 1, LYNBROOK, NY 11563(516) 887-3516(516) 887-0331 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Jan 10, 2022, Nov 12, 2018 (3 updates tracked since 2018).

About Kristin M Waldron Md NPPES

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

KRISTIN M WALDRON MD (NPI 1467658500) is an individual neurology provider in Lynbrook, New York, licensed in New York (251174) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2006).

NPPES Registry Identity

NPI1467658500
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameKRISTIN M WALDRONCredential: MD
Location Address360 MERRICK RD FL 1Lynbrook, NY 11563-2526
Mailing Address360 Merrick Rd Fl 1Lynbrook, NY 11563-2526 · (516) 887-3516 · Fax (516) 887-0331
Fax(516) 887-0331
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2006
Enumeration DateJune 25, 2007
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1467658500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 251174
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
360 MERRICK RD FL 1, Lynbrook, NY 11563

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

Kristin M Waldron Md 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 ID2961534029
PECOS Enrollment IDI20100726000260
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.

Areas of Expertise CMS Part B claims 19

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.

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.
406 services292 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
268 services193 patients
Complete ultrasound of within the brain blood flow 93886
A complete ultrasound of brain blood flow, also known as a Transcranial Doppler, is a non-invasive procedure that uses sound waves to measure the speed and direction of blood flow in the brain. This helps detect any abnormalities or blockages.
236 services233 patients
Ultrasound of within the brain blood flow following medication 93890
An ultrasound of the brain's blood flow after medication is a non-invasive procedure that uses sound waves to create images of the blood flow within your brain. This helps monitor how the medication is affecting your brain's blood circulation.
236 services233 patients
Ultrasound of within the brain blood flow for blood clots 93892
An ultrasound of the brain's blood flow is a safe, non-invasive procedure that uses sound waves to create images of the blood vessels. This helps identify any blockages, like blood clots, that might disrupt normal blood flow and cause health issues.
236 services233 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
233 services230 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11563 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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.

85.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.65
Promoting Interoperability85
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%121 patients5/55-star benchmark: 87%
Controlling High Blood Pressure
53%133 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,324 patients5/55-star benchmark: 100%
e-Prescribing
86%274 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
81%1,270 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
59%2,323 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 686 patients
Patients screened: 98% · 686 patients
35%43 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
72%542 patients3/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
100%54 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 647 patients
Patients totalRate: 11% · 647 patients
5%647 patients4/55-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 9

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

Radiology (Diagnostic Radiology)
360 MERRICK RD FL 1
LYNBROOK, NY 11563
Registered Nurse (School)
360 MERRICK RD FL 1
LYNBROOK, NY 11563
Psychiatry & Neurology (Neurology)
360 MERRICK RD FL 1
LYNBROOK, NY 11563
Psychiatry & Neurology (Neurology)
360 MERRICK RD FL 1
LYNBROOK, NY 11563
Physician Assistant
360 MERRICK RD FL 1
LYNBROOK, NY 11563
Physician Assistant (Medical)
360 MERRICK RD FL 1
LYNBROOK, NY 11563
Psychiatry & Neurology (Neurology)
360 MERRICK RD FL 1
LYNBROOK, NY 11563
Psychiatry & Neurology (Neurology)
360 MERRICK RD FL 1
LYNBROOK, NY 11563

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 Kristin Waldron's NPI number?

The NPI number for Kristin Waldron is 1467658500. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Kristin Waldron located?

Kristin Waldron practices at 360 Merrick Rd Fl 1, Lynbrook, NY 11563. The listed phone number is (516) 887-3516.

What is Kristin Waldron's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kristin Waldron enrolled in Medicare?

Yes. Kristin 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.

When was this NPI record last updated?

The NPPES record for Kristin Waldron was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.