DR. BRIAN E. WAIBLINGER MD
NPI 1750350443
Psychiatry & Neurology - Psychiatry in Mount Vernon, WA

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
93.46/100
CMS Quality Rating
1415 E KINCAID ST, BEHAVIORAL HEALTH, MOUNT VERNON, WA 98274(360) 424-2511(360) 424-2522 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian E. Waiblinger Md NPPES

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

DR. BRIAN E. WAIBLINGER MD (NPI 1750350443) is an individual psychiatry provider in Mount Vernon, Washington, licensed in Washington (MD00038031) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1996).

NPPES Registry Identity

NPI1750350443
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. BRIAN E. WAIBLINGERCredential: MD
Location Address1415 E KINCAID ST, BEHAVIORAL HEALTHMount Vernon, WA 98274-4126
Mailing Address1400 E Kincaid St, Attn: CredentialingMount Vernon, WA 98274-4127 · (360) 428-2500 · Fax (360) 428-6485
Fax(360) 424-2522
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1996
Enumeration DateMarch 15, 2006
Last NPPES UpdateMarch 3, 2015
NPI 1750350443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in WA · MD00038031
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1415 E KINCAID ST, Mount Vernon, WA 98274

Other Identifiers 2

Medicare UPINH20220WA
Medicare PINAB16371WA

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

Dr. Brian E. Waiblinger 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 ID6507033990
PECOS Enrollment IDI20120126000156
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

93.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.42
Improvement Activities40

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.

Internal Medicine
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Clinic/Center (Magnetic Resonance Imaging (MRI))
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Physical Therapist
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Psychiatry & Neurology (Sleep Medicine)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Pathology (Anatomic Pathology & Clinical Pathology)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
General Acute Care Hospital
1415 E KINCAID ST
MOUNT VERNON, WA 98274

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 Brian Waiblinger's NPI number?

The NPI number for Brian Waiblinger is 1750350443. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Brian Waiblinger located?

Brian Waiblinger practices at 1415 E Kincaid St Behavioral Health, Mount Vernon, WA 98274. The listed phone number is (360) 424-2511.

What is Brian Waiblinger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Brian Waiblinger enrolled in Medicare?

Yes. Brian Waiblinger 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 Brian Waiblinger was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.