DR. WALTER KNOLL (DO) – Pain Medicine (Anesthesiology) Physician, NPI 1013993062

DR. WALTER KNOLL (DO) is a healthcare provider. based in Bloomington, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 036088482 (IL). The NPI Number for DR. WALTER KNOLL (DO) is 1013993062

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. WALTER KNOLL (DO)
NPI
1013993062
Phone
(309) 663-4700
Address
1505 EASTLAND DR
Enumeration Date
21 December 2005
Last Update Date
23 January 2021

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8887122753
Graduation Year
1991 (35 years ago)
PAC ID
1850295767
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20050322000343
Address ID
IL618012501UR611XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

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Provider Addresses for DR. WALTER KNOLL (DO)

  • 1505, Eastland Drive, Bloomington, McLean County, Illinois, 61704, United States

    LL 1400

    BLOOMINGTON, IL 617013534

    Phone: (309) 663-4700

    Fax: (309) 665-0575

    Type: Mailing

  • 611 W PARK ST

    URBANA, IL 618012529

    Phone: (217) 383-3303

    Fax: (217) 383-3265

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($24).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-22

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
I20050322000343IAnesthesiologyILTBD

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
00142Anesthesia for lens surgery8986$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope6565$0
00812Anesthesia for exam of colon using an endoscope4040$0
00732Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope2322$0
36620Insertion of artery tube for blood sampling or infusion through skin2221$0
View full utilization report →

Insurance plans in this area (ZIP 61701)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

Where can patients find DR. WALTER KNOLL (DO)'s NPI?
You can confirm DR. WALTER KNOLL (DO) with NPI 1013993062; it appears in the national provider directory.
Does this profile mean DR. WALTER KNOLL (DO) is currently active?
Yes — DR. WALTER KNOLL (DO) appears active in the national provider directory.
Does DR. WALTER KNOLL (DO) list a primary specialty?
If you are matching referrals, note Pain Medicine (Anesthesiology) Physician for DR. WALTER KNOLL (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. WALTER KNOLL (DO)?
The page summarizes Bloomington, Illinois for DR. WALTER KNOLL (DO); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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