WALTER R KIRBY PA-C
NPI 1649414905
Physician Assistant in Fairfax, SC

Active since April 29, 2009PECOS EnrolledAccepts Medicare Assignment
333 REVOLUTIONARY TRL, FAIRFAX, SC 29827(803) 632-2533(803) 632-2451 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Mar 16, 2023, Jun 30, 2021 and 3 more (6 updates tracked since 2016).

About Walter R Kirby Pa-c NPPES

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

WALTER R KIRBY PA-C (NPI 1649414905) is an individual physician assistant in Fairfax, South Carolina, licensed in South Carolina (2214) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Allendale County Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2014).

NPPES Registry Identity

NPI1649414905
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWALTER R KIRBYCredential: PA-C
Location Address333 REVOLUTIONARY TRLFairfax, SC 29827-7109
Mailing Address86 Wren StBarnwell, SC 29812-1529 · (803) 259-5762
Fax(803) 632-2451
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2014
Enumeration DateApril 29, 2009
Last NPPES UpdateJanuary 11, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
NPI 1649414905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · 2214
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
333 REVOLUTIONARY TRL, Fairfax, SC 29827

Other Identifiers 2

Medicaid2119PASC
Other2214SC · Medical License

Accepted Insurance

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

Walter R Kirby Pa-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 ID8123339538
PECOS Enrollment IDI20150625001032
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 2

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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
72 services35 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
67 services35 patients

Hospital Affiliations CMS Care Compare

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

Allendale County Hospital

Critical Access Hospitals · Fairfax, SC
OwnershipGovernment - Local
CMS Certification Number421300
Location1787 Allendale Fairfax RdFairfax, SC 29827 · Allendale County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29827 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 13

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

Ophthalmology
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Nurse Practitioner (Family)
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Peer Specialist
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Nurse Practitioner (Women's Health)
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Nurse Practitioner (Women's Health)
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Counselor
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Family Medicine
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Nurse Practitioner
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827

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 Kirby's NPI number?

The NPI number for Walter Kirby is 1649414905. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is Walter Kirby located?

Walter Kirby practices at 333 Revolutionary Trl, Fairfax, SC 29827. The listed phone number is (803) 632-2533.

What is Walter Kirby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Walter Kirby enrolled in Medicare?

Yes. Walter Kirby 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.

What insurance does Walter Kirby accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Walter Kirby 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.

Is Walter Kirby affiliated with any hospitals?

According to CMS data, Walter Kirby is affiliated with Allendale County Hospital.

When was this NPI record last updated?

The NPPES record for Walter Kirby was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.