Ronald Dean Walters, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200101405 Issued in NC

Practice address

293 Olmsted Blvd
Suite #1
Pinehurst, NC 28374-9023

Phone

(910) 255-0033

Fax

(910) 255-0036

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

91.01 of 100Reported as group

Quality

100

Promoting interoperability

92

Improvement activities

40

Cost

76.69

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• MCPC-17, LLC

  • Internal Medicine Physician
  • Pinehurst, NC
  • NPI 1518312073

  Internal Medicine, NC

  Medicare reassignment NPD
• Ronald Walters, MD

  • Internal Medicine Physician
  • Pinehurst, NC
  • NPI 1801131974

  Internal Medicine

  NPD (past) Authorized official
• MCPC-17, LLC

  • Internal Medicine Physician
  • Sanford, NC
  • NPI 1386323319

  Internal Medicine

  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1699798157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18384",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154078",
            "telephone_number": "910-255-0033",
            "fax_number": "910-255-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 OLMSTED BLVD",
            "address_2": "SUITE #1",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749023",
            "telephone_number": "910-255-0033",
            "fax_number": "910-255-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "RONALD",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200101405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LISCENCE #",
            "identifier": "200101405",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latiea Walker
• Tja'Lyza Walker
• Shayla Wallace, MSP, CCC-SLP
• Juliann S Wallner, M.D.
• Teresa Walsh, PT, DPT
• Walter Gregory Walton, PH.D.
• Elizabeth Barrineau Ward, LCSW
• Shanice Ward
• Victoria Ward
• David Royal Warden IV, M.D.

• All providers in Pinehurst, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.