MARK KWALBRUN MD
NPI 1811997042
Radiology - Diagnostic Radiology in Watertown, NY

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
1571 WASHINGTON ST, SUITE 101, WATERTOWN, NY 13601(315) 786-5000(315) 786-5001 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark Kwalbrun Md NPPES

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

MARK KWALBRUN MD (NPI 1811997042) is an individual diagnostic radiology provider in Watertown, New York, licensed in New York (225726) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of State University Of New York Downstate Medical Center (1997).

NPPES Registry Identity

NPI1811997042
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK KWALBRUNCredential: MD
Location Address1571 WASHINGTON ST, SUITE 101Watertown, NY 13601-9304
Mailing Address1571 Washington St, Suite 101Watertown, NY 13601-9304 · (315) 786-5046 · Fax (315) 786-5043
Fax(315) 786-5001
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1997
Enumeration DateJuly 29, 2005
Last NPPES UpdateJanuary 15, 2014
NPI 1811997042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 225726
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1571 WASHINGTON ST, Watertown, NY 13601

Other Identifiers 3

Medicare UPINI01576NY
Medicare ID-Type Unspecified670T31NY
Medicaid02461787NY

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

Mark Kwalbrun 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 ID42205080
PECOS Enrollment IDI20040419000521
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 27

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
342 services283 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
222 services203 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
160 services149 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
95 services93 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
88 services85 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
85 services79 patients

Hospital Affiliations CMS Care Compare 5

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Auburn Community Hospital

Acute Care Hospitals · Auburn, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330235
Location17 Lansing StreetAuburn, NY 13021 · Cayuga County
Emergency services Birthing friendly

Gouverneur Hospital

Critical Access Hospitals · Gouverneur, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331315
Location77 West Barney StreetGouverneur, NY 13642 · St. Lawrence County
Emergency services

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Reported Quality Measures

Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry
Percentage of total computed tomography (CT) studies performed for all patients, regardless of age, that are reported to a radiation dose index registry that is capable of collecting at a minimum selected data elements
1%300 patients
Optimizing Patient Exposure to Ionizing Radiation: Utilization of a Standardized Nomenclature for Computed Tomography (CT) Imaging Description
Percentage of computed tomography (CT) imaging reports for all patients, regardless of age, with the imaging study named according to a standardized nomenclature and the standardized nomenclature is used in institution's computer systems
1%300 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
99%88 patients
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 20

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

Physical Therapist
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Physician Assistant (Surgical)
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Radiology (Diagnostic Radiology)
1571 WASHINGTON ST, SUITE 101
WATERTOWN, NY 13601
Orthopaedic Surgery
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Surgery
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601
Radiology (Vascular & Interventional Radiology)
1571 WASHINGTON ST
WATERTOWN, NY 13601
Radiology (Diagnostic Radiology)
1571 WASHINGTON ST, SUITE 101
WATERTOWN, NY 13601
Physician Assistant
1571 WASHINGTON ST, SUITE 201
WATERTOWN, NY 13601

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 Mark Kwalbrun's NPI number?

The NPI number for Mark Kwalbrun is 1811997042. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Mark Kwalbrun located?

Mark Kwalbrun practices at 1571 Washington St Suite 101, Watertown, NY 13601. The listed phone number is (315) 786-5000.

What is Mark Kwalbrun's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Kwalbrun enrolled in Medicare?

Yes. Mark Kwalbrun 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 Mark Kwalbrun affiliated with any hospitals?

According to CMS data, Mark Kwalbrun is affiliated with Samaritan Medical Center, Canton-Potsdam Hospital, Auburn Community Hospital, Gouverneur Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Mark Kwalbrun was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.