Doctor profile · Federal record
Dr. Kourtney Waggoner, PA
Physician Assistant · Kenmore, NY
- NPI 1265997191
- Accepts Medicare
- 8 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2950 Elmwood Ave Ste A1
Kenmore, NY 142171304
(716) 529-3070
fax (716) 529-3071 - Mailing address
-
3719 Union RD Ste 218
Cheektowaga, NY 142254251
Credentials & registration
- NPI registered
- February 2019 — 7 yrs on file
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New York #023195
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265997191. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
106
Distinct HCPCS
2
Medicare allowed
$12,992
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 56 | 56 | $144 | |
99284 |
Emergency department visit with moderate level of medical decision making | 50 | 49 | $99 |
In context: peer comparison
Among 7 peers in Kenmore Physician Assistant, average services per provider: 59. This provider delivers 1.8× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
55
Patients
55
Total drug cost
$350
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 20 | 20 | $40 |
| Cephalexin | Generic | 19 | 19 | $130 |
| Ondansetron Odt (Ondansetron) | Brand | 16 | 16 | $180 |
Frequently asked questions
What is Dr. Kourtney Waggoner's medical specialty?
Dr. Kourtney Waggoner practices Physician Assistant in Kenmore, NY.
Where does Dr. Kourtney Waggoner practice?
Dr. Kourtney Waggoner practices at 2950 Elmwood Ave Ste A1, Kenmore, NY 142171304. Office phone: 7165293070.
What is Dr. Kourtney Waggoner's NPI?
Dr. Kourtney Waggoner's National Provider Identifier (NPI) is 1265997191, issued by NPPES.
Does Dr. Kourtney Waggoner accept Medicare assignment?
Yes. Dr. Kourtney Waggoner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kourtney Waggoner commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284). Source: CMS Medicare Physician & Other Practitioners file.