Wally Walstrom, DO

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

0537903 Issued in KS

Practice address

2500 Canterbury Dr Ste 112
Hays, KS 67601-2257

Phone

(785) 261-7599

Fax

(785) 261-7548

NPI assigned

Jun 8, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Sports MedicineAlso: Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hays Medical Center Hospital, Hays, KS, CCN 170013
• Rooks County Health Center Hospital, Plainville, KS, CCN 171311

Merit-based Incentive Payment System (MIPS)

Final score

85.72 of 100Reported as apm

Quality

68.82

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wally.walstrom@haysmeddirect.com

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.

• Hays Medical Center, Inc.

  • Interventional Cardiology Physician
  • Hays, KS
  • NPI 1770618258
  Medicare reassignment Care Compare group NPD
• Hays Medical Center, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Hays, KS
  • NPI 1073306221
  NPD
• Hays Medical Center, Inc

  • Durable Medical Equipment & Medical Supplies
  • Hays, KS
  • NPI 1174769509
  NPD
• Hays Medical Center, Inc.

  • Internal Medicine Physician
  • Hays, KS
  • NPI 1871567479

  Family Medicine

  NPD (past)
• Pawnee Valley Community Hospital Inc

  • General Practice Physician
  • Larned, KS
  • NPI 1912310822
  NPD (past)

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

• Hays Medical Center Inc

  • General Acute Care Hospital
  • Hays, KS
  • NPI 1881697043
  Care Compare affiliation
• Rooks County Health Center

  • Critical Access Hospital
  • Plainville, KS
  • NPI 1649278854
  Care Compare affiliation

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1992067656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CANTERBURY DR STE 112",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012257",
            "telephone_number": "785-261-7599",
            "fax_number": "785-261-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANTERBURY DR STE 112",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012257",
            "telephone_number": "785-261-7599",
            "fax_number": "785-261-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSTROM",
        "first_name": "WALLY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0537903",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "0537903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Hays, KS
• Providers in Hays, KS by specialty
• Sports Medicine (Family Medicine) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.