WALTER J KANIEFSKI (MD) – Emergency Medicine Physician, NPI 1003840422
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,391 EMERGENCY MEDICINE in PA
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Provider Addresses for WALTER J KANIEFSKI (MD)
Ann Arbor Road, Livonia, Wayne County, Michigan, 48185:48187, United States
CREDENTIALING/PAYER CONTRACTING DEPT
LIVONIA, MI 481503397
Phone: (734) 805-0477
Fax: (866) 250-6385
Type: Mailing
Wayne Memorial Hospital, 601, Park Street, Honesdale, Wayne County, Pennsylvania, 18431, United States
EMERGENCY MEDICINE DEPARTMENT
HONESDALE, PA 184311445
Phone: (570) 253-8140
Fax: (570) 253-8633
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190326002379 | I | Emergency Medicine | NJ | TBD |
| I20220419002662 | I | Emergency Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 322 | 309 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 134 | 134 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 108 | 54 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 100 | 100 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 51 | $0 |
Insurance plans in this area (ZIP 48150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | OH | |
| - | FL | |
| Family Practice | SC | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL |
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