Active NPI
David L Waxman, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 14240
- Practice address
- 527 Medical Park Dr Ste 400
Bridgeport, WV 26330-9010 - Phone
- (681) 342-3550
- Fax
- (681) 342-3507
- NPI assigned
- Jun 8, 2006
- Last updated
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 14240 | WV | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 14240 | WV | Primary |
Addresses
Primary practice location
527 Medical Park Dr Ste 400
Bridgeport, WV 26330-9010
Mailing address
527 Medical Park Dr Ste 400
Bridgeport, WV 26330-9010
Phone (681) 342-3550
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200004627 | Other | RAILROAD MEDICARE | |
| WV2679A | Other | WV | MEDICARE PTAN |
| WV14240B | Other | HEALTH PLAN OHIO VALLEY | |
| 001720802 | Other | BLUE CROSS | |
| 0097123000 | Medicaid | WV | |
| 1362317 | Other | UMWA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwaxman722@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | dwaxman722@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Maryland School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Amalia Dr
Suite C8
Buckhannon, WV 26201-2270
Phone (304) 460-7959
107 Staunton Dr
Weston, WV 26452-5604
Phone (681) 342-3870
Hospital & facility affiliations
- Wvuhs Home Care
- United Hospital Center, Inc
- St Joseph's Hospital of Buckhannon, Inc
- West Virginia University Hospitals, Inc
- Summersville Regional Medical Center
- Braxton County Memorial Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 26 |
| Knee replacement | 78 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Hospital of Buckhannon Inc | Current | Accepting new patients | |
| Wvu Medical Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| United Hospital Center Inc | Orthopaedic Surgery | Current | Accepting new patients |
| United Hospital Center, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Wvu Medical Corporation | Past | Accepting new patients | |
| United Hospital Center | Past | Accepting new patients | |
| Fairmont Physicians Inc | Past | Accepting new patients | |
| St Josephs Hospital of Buckhannon | Orthopaedic Surgery | Past | Accepting new patients |
Locations
227 Medical Park Dr
Ste 101
Bridgeport, WV 26330
Phone (681) 342-3490
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
527 Medical Park Dr
Ste 302
Bridgeport, WV 26330
Phone (304) 933-3928
527 Medical Park Dr
Ste 400
Bridgeport, WV 26330
Phone (681) 342-1610
527 Medical Park Dr
Ste 500
Bridgeport, WV 26330
Phone (681) 342-3600
916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000
10 Amalia Dr
Ste C4
Buckhannon, WV 26201
Phone (304) 460-7936
10 Amalia Dr
Ste C8
Buckhannon, WV 26201
Phone (304) 460-7959
2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
6040 University Town Centre Dr
Morgantown, WV 26501
107 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
Orthopaedic Surgery
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Orthopaedic Surgery
-
dba UHC Orthopedics
- Orthopaedic Surgery Physician
- Bridgeport, WV
- NPI 1720133473
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Urology Physician
- Fairmont, WV
- NPI 1790714228
-
- Internal Medicine Physician
- Buckhannon, WV
- NPI 1841314473
Orthopaedic Surgery
-
- Rheumatology Physician
- Bridgeport, WV
- NPI 1780767772
-
dba Medical Office Building-Bridgeport
- Neurological Surgery Physician
- Bridgeport, WV
- NPI 1245625581
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Gassaway, WV
- NPI 1356304547
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
dba Summersville Regional Medical Center
- Critical Access Hospital
- Summersville, WV
- NPI 1043778319
-
dba SRMC Medical Group
- Hospitalist Physician
- Summersville, WV
- NPI 1417415324
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1174563092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 400",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309010",
"telephone_number": "681-342-3550",
"fax_number": "681-342-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 400",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309010",
"telephone_number": "681-342-3550",
"fax_number": "681-342-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAXMAN",
"first_name": "DAVID",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WV",
"license": "14240",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "WV",
"license": "14240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200004627",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "WV2679A",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OHIO VALLEY",
"identifier": "WV14240B",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001720802",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0097123000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1362317",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwaxman722@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "227 Medical Park Dr",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263308420",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwaxman722@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "227 Medical Park Dr",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263308420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.