GEORGE DEXTER JR. WALCOTT (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1376520742

GEORGE DEXTER JR. WALCOTT (MD) is a healthcare provider. based in Montgomery, Alabama. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 23247 (AL). The NPI Number for GEORGE DEXTER JR. WALCOTT (MD) is 1376520742

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE DEXTER JR. WALCOTT (MD)
NPI
1376520742
Phone
(334) 274-9000
Address
4294 LOMAC ST
Enumeration Date
28 December 2005
Last Update Date
11 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
3342749000
Graduation Year
1994 (32 years ago)
PAC ID
9436220951
Group Practice PAC ID
1355254780
Professional Enrollment ID
I20100908000053
Address ID
AL361063604MO4294XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

487 ORTHOPEDIC SURGERY in AL

Loading map...

Provider Addresses for GEORGE DEXTER JR. WALCOTT (MD)

  • Lomac Street, Brookwood Estates, Montgomery, Montgomery County, Alabama, 36106, United States

    MONTGOMERY, AL 361063604

    Phone: (334) 274-9000

    Fax: (334) 274-0857

    Type: Mailing

  • PO BOX 370

    FORTSON, GA 318080370

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100908000053ISports MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg14051$0
99213Established patient office or other outpatient visit, 20-29 minutes12590$0
99203New patient office or other outpatient visit, 30-44 minutes9090$0
73030X-ray of shoulder, minimum of 2 views6255$0
73564X-ray of knee, 4 or more views5647$0
View full utilization report →

Insurance plans in this area (ZIP 36106)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355254780View full group profile
NameSpecialtyState
-GA
-AL
Physical Therapist In Private PracticeGA
Physician AssistantAL
Physical Therapist In Private PracticeGA
Sports Medicine, Orthopedic Surgery, Orthopedic SurgeryGA
Nurse PractitionerGA
Physical Therapist In Private PracticeSC
Sports Medicine, Orthopedic SurgeryGA
Occupational Therapist In Private PracticeGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for GEORGE DEXTER JR. WALCOTT (MD) in U.S. healthcare records?
The official identifier for GEORGE DEXTER JR. WALCOTT (MD) is NPI 1376520742.
Is there an active status for GEORGE DEXTER JR. WALCOTT (MD)?
For scheduling context, GEORGE DEXTER JR. WALCOTT (MD) is shown as active in the registry.
What clinical focus is listed for GEORGE DEXTER JR. WALCOTT (MD)?
At a glance, GEORGE DEXTER JR. WALCOTT (MD) is tied to Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is GEORGE DEXTER JR. WALCOTT (MD) located near Montgomery?
GEORGE DEXTER JR. WALCOTT (MD) currently maps to Montgomery, Alabama in this extract.
Does GEORGE DEXTER JR. WALCOTT (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

CHARLES WAYNE JR. HARTZOG (MD)

Sports Medicine (Orthopaedic Surgery) Physician
Lomac Street, Brookwood Estates, Montgomery, Montgomery County, Alabama, 36106, United States
NPI: 1952388050

DR. MICHAEL MATTHEWS TUCKER (M.D.)

Sports Medicine (Orthopaedic Surgery) Physician
117 Oakland Pkwy
NPI: 1841232691

Alabama State Sports Medicine

Sports Medicine (Orthopaedic Surgery) Physician
5050, Spring Valley Road, Farmers Branch, Dallas County, Texas, 75240, United States
NPI: 1205356938