DR. WALTER FRIZZELL FLETCHER (M.D.) – Family Medicine Physician, NPI 1043200280

DR. WALTER FRIZZELL FLETCHER (M.D.) is a healthcare provider. based in Waterloo, Illinois. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 25879 (TN). The NPI Number for DR. WALTER FRIZZELL FLETCHER (M.D.) is 1043200280

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. WALTER FRIZZELL FLETCHER (M.D.)
NPI
1043200280
Phone
(877) 748-7030
Address
424 W 4TH ST
Enumeration Date
27 October 2005
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7319681812
Graduation Year
1993 (33 years ago)
PAC ID
3870542293
Group Practice PAC ID
7719896414
Professional Enrollment ID
I20050112000941
Address ID
TN383512038LE200XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for DR. WALTER FRIZZELL FLETCHER (M.D.)

  • 424, West 4th Street, Waterloo, Monroe County, Illinois, 62298, United States

    WATERLOO, IL 622981378

    Phone: (877) 748-7030

    Fax: (877) 264-9140

    Type: Mailing

  • 117, Kennedy Drive, Martin, Weakley County, Tennessee, 38237, United States

    MARTIN, TN 382373309

    Phone: (731) 587-9511

    Fax: (731) 587-0785

    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 $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Philips North America LLC ($43).

Total Amount

$70

General + Research + Ownership

Payments

2

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2005-01-12

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
I20050112000941IFamily PracticeTNTBD

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
99284Emergency department visit with moderate level of medical decision making167164$0
99285Emergency department visit with high level of medical decision making133129$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2323$0
99283Emergency department visit with low level of medical decision making2019$0
View full utilization report →

Insurance plans in this area (ZIP 62298)

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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: 7719896414View full group profile
NameSpecialtyState
Nurse PractitionerTN
Emergency Medicine, Internal MedicineTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
General SurgeryOH
Internal MedicineTX
Family PracticeVA
Internal MedicineTN
Family Practice, Emergency MedicineTN

Reviews

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Frequently asked questions

What is the registry number for DR. WALTER FRIZZELL FLETCHER (M.D.)?
The registry entry for DR. WALTER FRIZZELL FLETCHER (M.D.) shows NPI 1043200280.
Is DR. WALTER FRIZZELL FLETCHER (M.D.)'s NPI status active today?
Active status means DR. WALTER FRIZZELL FLETCHER (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. WALTER FRIZZELL FLETCHER (M.D.)'s specialty?
The extract shows Family Medicine Physician for DR. WALTER FRIZZELL FLETCHER (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. WALTER FRIZZELL FLETCHER (M.D.)?
DR. WALTER FRIZZELL FLETCHER (M.D.) shows a connection to Waterloo, Illinois in registry-derived data.
Can I export DR. WALTER FRIZZELL FLETCHER (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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