Individual provider Active NPI

Ronald Martin Walters, M.D.

  • Surgery Physician
  • Whiteville, NC
National Provider Identifier
1922002997
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30510 Issued in NC
Practice address
220 Jefferson St
Whiteville, NC 28472-3416
Phone
(910) 642-3214
Fax
(910) 642-2085
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 30510 NC Primary

Addresses

Primary practice location

220 Jefferson St
Whiteville, NC 28472-3416

Mailing address

220 Jefferson St
Whiteville, NC 28472-3416
Phone (910) 642-3214

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rwalters@crhn.cernerdirect.com Direct Columbus Regional Healthcare System

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100423000449 NC Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology)Practitioner - Thoracic SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Vascular SurgeryPractitioner - Surgical Oncology 9739262114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology), Peripheral Vascular Disease, Surgical Oncology, Thoracic Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walters Surgical Assoc PAGroup PAC ID 5597846550, 3 clinicians

Practice addresses (Care Compare)

220 Jefferson St
Whiteville, NC 28472-3416
Phone (910) 642-3214

Hospital & facility affiliations

  • Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
  • Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068

Merit-based Incentive Payment System (MIPS)

Final score
85.75 of 100Reported as individual
Quality
60
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81
Hernia repair - groin (open)1-10
Pacemaker insertion or repair1-10
Upper gastrointestinal (GI) endoscopy for acid reflux88
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walters Surgical Assoc PA Surgery CurrentSince May 15, 1995 Accepting new patients

Locations

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

220 Jefferson St
Whiteville, NC 28472
Phone (910) 642-3214

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400300

Organizations & group practices 1

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 2

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1922002997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723416",
            "telephone_number": "910-642-3214",
            "fax_number": "910-642-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723416",
            "telephone_number": "910-642-3214",
            "fax_number": "910-642-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "RONALD",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "30510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwalters@crhn.cernerdirect.com",
            "affiliation": "Y",
            "endpointDescription": "crhs",
            "affiliationName": "Columbus Regional Healthcare System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Summary of Care",
            "address_1": "500 Jefferson St",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284723634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.