DR. GIACOMO COLVER WALLER MD
NPI 1801391438
Surgery in Ny, NY

Q: What is Giacomo Waller's NPI number?

The NPI number for Giacomo Waller is 1801391438. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Q: What is Giacomo Waller's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Giacomo Waller was last updated on July 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment

19 E 98TH ST, 7TH FL, STE A, BOX #1259, NY, NY 10029(212) 241-0949(212) 534-2654 Get Directions Write a Review

NPPES record last updated: July 23, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 23, 2023, May 21, 2023, Mar 25, 2021 and 1 more (4 updates tracked since 2020).

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About Dr. Giacomo Colver Waller Md NPPES

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

DR. GIACOMO COLVER WALLER MD (NPI 1801391438) is an individual surgery provider in Ny, New York, licensed in New York (322610) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Hospital Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801391438

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. GIACOMO COLVER WALLERCredential: MD

Location Address19 E 98TH ST, 7TH FL, STE A, BOX #1259Ny, NY 10029-6574

Mailing Address19 E 98th St, 7th Fl, Ste A, Box #1259Ny, NY 10029-6574 · (212) 241-0949 · Fax (212) 534-2654

Phone(212) 241-0949

Fax(212) 534-2654

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2018

Enumeration DateMarch 26, 2018

Last NPPES UpdateJuly 23, 20234 updates tracked since enumeration

NPPES CertifiedJuly 23, 2023

✔ NPI 1801391438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in NY · 322610✔ Licensed in IL · 125.077143

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125.077143 (IL)

19 E 98TH ST, 7TH FL, Ny, NY 10029

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Secondary Practice Locations 2

Location 11364 Clifton Rd NE Ste H100Atlanta, GA 30322-1059 · Phone (404) 727-0093 · Fax (404) 712-0561

Location 22160 S 1st Ave Ste 2840Maywood, IL 60153-3328 · Phone (708) 216-4533

Other Identifiers 2

Other125.077143IL · Illinoise Dfpr

Other322610NY · New York State Education Department Office Of The Professions

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. Giacomo Colver Waller 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 ID3375892656

PECOS Enrollment IDI20250731001068

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

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

Elmhurst Hospital Center

Acute Care Hospitals · Elmhurst, NY

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number330128

Location79-01 BroadwayElmhurst, NY 11373 · Queens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

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 Giacomo Waller's NPI number?

The NPI number for Giacomo Waller is 1801391438. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Giacomo Waller located?

Giacomo Waller practices at 19 E 98th St, 7th Fl Ste A, Box #1259, Ny, NY 10029. The listed phone number is (212) 241-0949.

What is Giacomo Waller's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Giacomo Waller enrolled in Medicare?

Yes. Giacomo Waller 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.

Is Giacomo Waller affiliated with any hospitals?

According to CMS data, Giacomo Waller is affiliated with Elmhurst Hospital Center.

When was this NPI record last updated?

The NPPES record for Giacomo Waller was last updated on July 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.