SAMUEL THOMAS DUNN WALLER (MD) – Neurological Surgery Physician, NPI 1053583211
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13 NEUROSURGERY in AK
Provider Addresses for SAMUEL THOMAS DUNN WALLER (MD)
301 W NORTHERN LIGHTS BLVD STE 400
ANCHORAGE, AK 995032648
Phone: (907) 563-4810
Fax: (907) 563-4810
Type: Mailing
Lake Otis Parkway, Anchorage, Alaska, 99507, United States
ANCHORAGE, AK 995085231
Phone: (907) 563-4810
Fax: (907) 563-4810
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $12,408.
Total Amount is formed as General ($12,408) + Research ($0) + Ownership ($0) = $12,408.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Globus Medical, Inc. ($8,119).
Total Amount
$12,408
General + Research + Ownership
Payments
58
Total payment records
General Amount
$12,408
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $8,119 |
| Medtronic, Inc. | $3,142 |
| Cerapedics Inc. | $867 |
| Nevro Corp. | $170 |
| Baxter Healthcare | $73 |
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: 2019-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150724010579 | I | Neurosurgery | WI | TBD |
| I20191108002926 | I | Neurosurgery | AK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 53 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 46 | 26 | $0 |
| 22614 | Fusion of additional segment of spine | 41 | 17 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 99503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| N E U R O S U R G E R Y | AK | |
| Physician Assistant | AK | |
| Physician Assistant | AK | |
| N E U R O S U R G E R Y | AK | |
| N E U R O L O G Y | IL | |
| N E U R O L O G Y | MO |
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