DR. WAYNE WALTZER M.D.
NPI 1497782189
Urology in East Setauket, NY

Active since June 27, 2006PECOS Enrolled
98.52/100
CMS Quality Rating
24 RESEARCH WAY, SUITE 500, EAST SETAUKET, NY 11733(631) 444-6270 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Wayne Waltzer M.d. NPPES

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

DR. WAYNE WALTZER M.D. (NPI 1497782189) is an individual urology provider in East Setauket, New York, licensed in New York (139086) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (1973).

NPPES Registry Identity

NPI1497782189
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. WAYNE WALTZERCredential: M.D.
Location Address24 RESEARCH WAY, SUITE 500East Setauket, NY 11733-3453
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-6270
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1973
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1497782189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 139086
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
24 RESEARCH WAY, East Setauket, NY 11733

Other Identifiers 5

Other4401701NY · Aetna
Medicaid00496066NY
Medicare UPINB12528NY
Medicare ID-Type Unspecified30A391NY
Other0388S2NY · Empire B/c B/s

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. Wayne Waltzer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325042849
PECOS Enrollment IDI20070119000120
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 23

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 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.
585 services419 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
185 services133 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
161 services95 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
99 services75 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services69 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
75 services75 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims3,110 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers17 claims6,255 services$1.45 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
10 suppliers69 claims187 services$8.57 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
3 suppliers14 claims43 services$6.03 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers24 claims620 services$3.31 avg. paid by Medicare
Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each A4392
DME-Orthotic Devices · category DF010N
3 suppliers13 claims480 services$7.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Urology
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Surgery (Plastic and Reconstructive Surgery)
24 RESEARCH WAY
SETAUKET, NY 11733
Physician Assistant (Surgical)
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Radiology (Diagnostic Radiology)
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Physician Assistant
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY, SUITE 500
SETAUKET, NY 11733
Plastic Surgery
24 RESEARCH WAY
EAST SETAUKET, NY 11733

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 Wayne Waltzer's NPI number?

The NPI number for Wayne Waltzer is 1497782189. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Wayne Waltzer located?

Wayne Waltzer practices at 24 Research Way Suite 500, East Setauket, NY 11733. The listed phone number is (631) 444-6270.

What is Wayne Waltzer's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Wayne Waltzer enrolled in Medicare?

Yes. Wayne Waltzer is registered in the Medicare PECOS enrollment system.

Is Wayne Waltzer affiliated with any hospitals?

According to CMS data, Wayne Waltzer is affiliated with St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Wayne Waltzer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.