John R Walters, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13838 Issued in SC

Practice address

340 W Butler St
Lexington, SC 29072-2606

Phone

(803) 359-8777

Fax

(803) 359-1513

NPI assigned

Feb 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in SC

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

Merit-based Incentive Payment System (MIPS)

Final score

92.23 of 100Reported as group

Quality

99.94

Improvement activities

40

Cost

74.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Palmetto Ophthalmology Associates, P.a.

  • Ophthalmology Physician
  • Lexington, SC
  • NPI 1275580805
  Medicare reassignment NPD
• Palmetto Ophthalmology Associates, P.a.

  • Ophthalmology Physician
  • Leesville, SC
  • NPI 1992985071
  Medicare reassignment NPD

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124169511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W BUTLER ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722606",
            "telephone_number": "803-359-8777",
            "fax_number": "803-359-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W BUTLER ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722606",
            "telephone_number": "803-359-8777",
            "fax_number": "803-359-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "13838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Wallace, MA, LPC, NCC, CCNHC
• Kathleen Walter
• Angela K Walters, RPH
• Autumn Walters
• David Rodwell Walters II, ATC
• Ryan Alan Walters, MD
• Kayla Ward, PTA
• Alexis Ware
• Michelle Heath Warren, MCD, CCC-SLP
• Douglas Randolph Warrick III, PHARMD

• Ophthalmology Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.