Roger Walcott, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

254532-1 Issued in NY

Practice address

2121 Main St
Suite 316
Buffalo, NY 14214-2693

Phone

(716) 837-2400

Fax

(716) 837-3860

NPI assigned

May 22, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Vascular Surgery

Education

State University of New York at Buffalo School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians

Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
• Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
• Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwalcott20748@direct.chsbuffalo.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Medicare reassignment Care Compare group NPD
• Trinity Medical Wny PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1295043149
  Medicare reassignment Care Compare group NPD
• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Medicare reassignment NPD
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Medicare reassignment NPD
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Medicare reassignment NPD
• Kenmore Mercy Hospital

  • Pulmonary Disease Physician
  • Kenmore, NY
  • NPI 1659909752
  NPD
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1851929954
  NPD
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1184252751
  NPD
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  NPD
• Sisters of Charity Hospital of Buffalo New York

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1568090660
  NPD
• Trinity Medical Wny PC

  • Vascular Surgery Physician
  • Buffalo, NY
  • NPI 1205468055
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Care Compare affiliation
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361577600000",
    "number": "1992962302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MAIN ST",
            "address_2": "SUITE 316",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142693",
            "telephone_number": "716-837-2400",
            "fax_number": "716-837-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MAIN ST",
            "address_2": "SUITE 316",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142693",
            "telephone_number": "716-837-2400",
            "fax_number": "716-837-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCOTT",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2013-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "254532-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03138965",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Wajda, CRNA
• Donna A. Wakeley, MS CCC SLP LIC.
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• Patricia Walchli
• Pamela A Walck, PT
• Ashley Walczak
• Kayleigh Nicole Walczyk, R-CPHT
• Jenna Marie Walden
• Neva S. Walden, PH.D., M.ED.
• Leah Elizabeth Waldman

• Vascular Surgery Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2013; 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.

Verify at the official NPI Registry.