KENNETH BRIAN WALTON (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1699719179
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
Provider Addresses for KENNETH BRIAN WALTON (MD)
1058 Bermuda Run Road
Statesboro, GA 304580858
Phone: (912) 871-7100
Fax: (912) 871-7110
Type: Location
PO BOX 689022
FRANKLIN, TN 370689022
Phone: (615) 465-7211
Fax: (615) 628-6877
Type: Mailing
1058, Bermuda Run, Olde Towne, Stadium Club, Statesboro, Bulloch County, Georgia, 30458, United States
STATESBORO, GA 304580858
Phone: (912) 871-7100
Fax: (912) 871-7110
Type: Mailing
1497 FAIR RD STE 200
STATESBORO, GA 304580824
Phone: (912) 871-7100
Fax: (912) 871-7110
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Smith+Nephew, Inc. ($49).
Total Amount
$137
General + Research + Ownership
Payments
8
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $49 |
| Medtronic, Inc. | $37 |
| CVRx, Inc. | $28 |
| Axonics, Inc. | $24 |
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: 2011-04-18
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 |
|---|---|---|---|---|
| I20110418000195 | I | General Surgery | GA | 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 |
|---|---|---|---|---|
| 93923 | Complete ultrasound study of arm and leg arteries | 124 | 124 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 88 | 83 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 79 | 50 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 56 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
Insurance plans in this area (ZIP 30458)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | GA | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 26 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Physician Assistant | TN | |
| A N E S T H E S I O L O G Y | NC | |
| Nurse Practitioner | GA | |
| Internal Medicine, Gastroenterology | GA | |
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Pediatric Medicine | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA |
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