WALTER SAMUEL HURTADO (PA C) – Surgical Physician Assistant, NPI 1407890049
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for WALTER SAMUEL HURTADO (PA C)
1377, East Herndon Avenue, Fresno, Fresno County, California, 93720, United States
SUITE 104
FRESNO, CA 937203022
Phone: (559) 450-7455
Fax: (559) 450-7473
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $1,015.
Total Amount is formed as General ($1,015) + Research ($0) + Ownership ($0) = $1,015.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABIOMED ($396).
Total Amount
$1,015
General + Research + Ownership
Payments
26
Total payment records
General Amount
$1,015
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $396 |
| Medtronic, Inc. | $162 |
| Janssen Pharmaceuticals, Inc | $122 |
| ATRICURE, INC. | $102 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $88 |
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: 2005-02-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050204000410 | I | Physician Assistant | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MD | |
| - | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Internal Medicine, Pulmonary Disease | CA | |
| Diagnostic Radiology, Interventional Radiology | CA | |
| Family Practice | CA | |
| - | CA | |
| Family Practice | CA |
Reviews
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