Maryellen Waltz, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103301110 Issued in VA

Practice address

887A Rio East CT
Charlottesville, VA 22901-8004

Phone

(434) 979-8116

Fax

(434) 979-8880

NPI assigned

May 24, 2011

Last updated

Apr 12, 2019By the provider in NPPES

Sex

Female

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 VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Specialists of the Mid-Atlantic LLCGroup PAC ID 6305017633, 157 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Augusta Health Hospital, Fishersville, VA, CCN 490018
• Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019
• Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077

Merit-based Incentive Payment System (MIPS)

Final score

88.95 of 100Reported as group

Promoting interoperability

87

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwaltz@usfas.emadirect.md
• Direct secure messaging: mwaltz570469@direct.healthsystem.virginia.edu

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.

• Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Raleigh, NC
  • NPI 1073804712

  Foot & Ankle Surgery, VA

  Medicare reassignment Care Compare group NPD
• Christopher Brian Stewart, DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Charlottesville, VA
  • NPI 1346226446
  Medicare reassignment
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Concord, NC
  • NPI 1255213997

  Foot & Ankle Surgery

  NPD

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

• Augusta Health Care, Inc

  dba t/a Augusta Health

  • General Acute Care Hospital
  • Fishersville, VA
  • NPI 1053301127
  Care Compare affiliation
• Martha Jefferson Hospital

  • General Acute Care Hospital
  • Charlottesville, VA
  • NPI 1346248663
  Care Compare affiliation
• Uva Culpeper Medical Center

  dba UVA Health Culpeper Medical Center

  • General Acute Care Hospital
  • Culpeper, VA
  • NPI 1669538047
  Care Compare affiliation

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1437442506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E GUDE DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501496",
            "telephone_number": "301-933-7133",
            "fax_number": "301-933-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887A RIO EAST CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018004",
            "telephone_number": "434-979-8116",
            "fax_number": "434-979-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTZ",
        "first_name": "MARYELLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Michelle Walters
• Amelia Uffelman Walton, LPC
• Drew Walton
• Heather Dale Walton, DPT, OCS
• Samuel Richard Walton, ATC
• Christine O Wamhoff, MD
• Cynthia Wan
• Eric Wandler, MD
• Andrew Y Wang, MD
• En-Hua Wang

• Foot & Ankle Surgery Podiatrist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.