Individual provider Active NPI

Stephen Walter, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Paris, TX
National Provider Identifier
1568408235
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
K4827 Issued in TX
Practice address
801 Clarksville St Ste C
Paris, TX 75460-0220
Phone
(903) 784-7210
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X K4827 TX Primary

Addresses

Primary practice location

801 Clarksville St Ste C
Paris, TX 75460-0220

Mailing address

PO Box 1307
Paris, TX 75461-1307
Phone (903) 784-7210

Other identifiers 4

IdentifierTypeStateIssuer
HMO BLUEOtherTX8R9450
153785403MedicaidTX
BCBSOtherTX8R9450
200039610AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000784 TX Practitioner - Pathology 0648260091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 Clarksville St
Suite C
Paris, TX 75460-0220
Phone (903) 784-7210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.35 of 100Reported as individual
Quality
71.35
Improvement activities
0
Cost
72.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Red River Valley Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2004 Accepting new patients
Pathology Association of Longview PA Anatomic Pathology & Clinical Pathology Past Accepting new patients
Paris Surgery Center, LLC PastSince Oct 1, 2004 Accepting new patients

Locations

820 Clarksville St
Paris, TX 75460
Phone (903) 737-3291

801 Clarksville St
Ste C
Paris, TX 75460
Phone (903) 784-7045

2905 Pine Mill Rd
Paris, TX 75460
Phone (903) 272-9924

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1568408235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1307",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754611307",
            "telephone_number": "903-784-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CLARKSVILLE ST STE C",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754600220",
            "telephone_number": "903-784-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "K4827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8R9450",
            "identifier": "HMO BLUE",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153785403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8R9450",
            "identifier": "BCBS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039610A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.