Michael Shane Walters, MD, MPH

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

2009005099 Issued in MO

Practice address

1001 E Primrose St
Springfield, MO 65807-5155

Phone

(417) 875-3000

NPI assigned

Apr 11, 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 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Diagnostic Radiology

Education

University of Oklahoma College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lester E Cox Medical CentersGroup PAC ID 8628092897, 243 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cox Medical Centers Hospital, Springfield, MO, CCN 260040
• Cox Monett Hospital Hospital, Monett, MO, CCN 261329
• Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

Merit-based Incentive Payment System (MIPS)

Final score

82.25 of 100Reported as group

Quality

64.73

Promoting interoperability

100

Improvement activities

40

Cost

76.1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.walters@cernerdirect.coxhealth.com

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.

• Lester E Cox Medical Centers

  • General Practice Physician
  • Springfield, MO
  • NPI 1760405864
  Medicare reassignment Care Compare group NPD
• Lester E. Cox Medical Centers

  • Family Medicine Physician
  • Shell Knob, MO
  • NPI 1538334396
  Medicare reassignment
• Lester E Cox Medical Centers

  • Neurology Physician
  • Springfield, MO
  • NPI 1023763414
  NPD
• Lester E Cox Medical Centers

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1922126077
  NPD
• Stat Anesthesia Specialists, LTD.

  • Anesthesiology Physician
  • Bremen, IN
  • NPI 1992754089
  NPD (past)

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

• Cox-Monett Hospital, Inc.

  • Critical Access Hospital
  • Monett, MO
  • NPI 1194757500
  Care Compare affiliation
• Lester E Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  Care Compare affiliation
• Lester E Cox Medical Centers

  • Land Ambulance
  • Springfield, MO
  • NPI 1114044823

  Hospital

  Care Compare affiliation
• Lester E. Cox Medical Centers

  • Air Ambulance
  • Springfield, MO
  • NPI 1578680286

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Air Ambulance
  • Branson West, MO
  • NPI 1144430760

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Mount Vernon, MO
  • NPI 1427279173

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Camdenton, MO
  • NPI 1477765204

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Winona, MO
  • NPI 1538380654

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Stockton, MO
  • NPI 1558573386

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Springfield, MO
  • NPI 1558573410

  Hospital

  Care Compare affiliation
• Mercy Hospital Springfield

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1578504056
  Care Compare affiliation
• Mercy Hospital Springfield

  • Land Ambulance
  • Mountain View, MO
  • NPI 1639204308

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1386817294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658089007",
            "telephone_number": "417-875-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075155",
            "telephone_number": "417-875-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MO",
            "license": "2009005099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206427106",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386817294",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Quentin Walsh, LCSW
• Mary E Walsh, C.P.M.
• Svetlana V Walsh
• Timaree Anne Walsh, ATC
• Jessi Walters, PLPC
• Sarah Elisabeth Walters, MOL, ATC
• Mark J. Walterskirchen, M.D.
• Jeana Walton-Day, PHARM.D.
• Bradley H. Walz, MD
• Timothy J Wand, CRNA

• Neuroradiology Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Neuroradiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.