National Provider Identifier
Kourtney Lenea Waggoner, PA
Kourtney Lenea Waggoner, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Kenmore, NY and a listed phone number of (716) 529-3070.
Source: public NPPES record, last updated February 05, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1265997191
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 05, 2019
- Last Updated
- February 05, 2019
Practice Location
- 2950 Elmwood Ave Ste A1
- Kenmore, NY 14217-1304
Phone: (716) 529-3070
Mailing Address
- 3719 Union RD Ste 218
- Cheektowaga, NY 14225-4251
Specialties
- Physician Assistant (363A00000X)
Browse Similar Providers
See more Physician Assistant providers in Buffalo, NY.
Medicare Part B Activity
Reported 106 Medicare fee-for-service service lines in 2023.
Peer comparison
Compared to Physician Assistant providers in the Buffalo, NY metro area.
This provider is in the 36th percentile for Medicare service volume.
Lower volume than many peers.
Performs 32% fewer Medicare services than the peer median.
Higher than 309 of 847 peers.
- Activity Percentile
- 36.5%
- Rank by Services
- 537 of 847
- Total Services
- 106
- Est. Allowed Value
- $12,991.76
- Dataset Year
- 2023
- Drug Code Share
- 0.0%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Physician Assistant across the Buffalo, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 11 to 9,230 total Medicare services.
Top Clinical Services
- 99285: Emergency department visit with high level of medical decision making
56 services | $8,050.25
- 99284: Emergency department visit with moderate level of medical decision making
50 services | $4,941.51
Full Record
- NPI
- 1265997191
- Entity Type
- Individual
- Last Name
- Waggoner
- First Name
- Kourtney
- Middle Name
- Lenea
- Credential
- PA
- Mailing Street Address
- 3719 Union RD Ste 218
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4251
- Mailing Country
- US
- Mailing Phone
- (716) 206-1503
- Mailing Fax
- (716) 651-9945
- Practice Street Address
- 2950 Elmwood Ave Ste A1
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1304
- Practice Country
- US
- Practice Phone
- (716) 529-3070
- Practice Fax
- (716) 529-3071
- Enumeration Date
- February 05, 2019
- Last Updated
- February 05, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)