Active NPI
Gregory Walker, M.D., M.B.A.
- Dermatology Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- R5338
- Practice address
- 300 Richland West Cir Ste 2C
Waco, TX 76712-7935 - Phone
- (254) 340-6000
- Fax
- (254) 340-6010
- NPI assigned
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Texas Tech University Health Science Center School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oliver Street 5.01(a) Inc
Practice addresses (Care Compare)
300 Richland W Cir
2C U.S. Dermatology Partners
Waco, TX 76712-7935
Phone (254) 340-6000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 95 |
| Removal of skin lesions | 1189 |
| Removal of skin cancer | 378 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 308 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180516001339 | TX | Practitioner - Dermatology | 4587951298 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5338 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oliver Street 5.01(a) Inc. | Dermatology | Current | Accepting new patients |
| Dermatology Associates | Dermatology | Past | Accepting new patients |
Locations
5310 Harvest Hill Rd
Ste 290
Dallas, TX 75230
Phone (214) 420-0672
1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200
300 Richland West Cir
#2C
Waco, TX 76712
Phone (254) 340-6000
300 Richland West Cir
Ste 2C
Waco, TX 76712
Phone (254) 340-6000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | BP20053749 | TX | |
| Dermatology Physician | 207N00000X | R5338 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
300 Richland West Cir Ste 2C
Waco, TX 76712-7935
Mailing address
5310 Harvest Hill Rd Ste 290
Dallas, TX 75230-5826
Phone (214) 420-0650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2020.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1487074084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 HARVEST HILL RD STE 290",
"city": "DALLAS",
"state": "TX",
"postal_code": "752305826",
"telephone_number": "214-420-0650",
"fax_number": "214-736-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RICHLAND WEST CIR STE 2C",
"city": "WACO",
"state": "TX",
"postal_code": "767127935",
"telephone_number": "254-340-6000",
"fax_number": "254-340-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "GREGORY",
"credential": "M.D., M.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "BP20053749",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "R5338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.