JONATHAN E WALTERS (M.D.) – Family Medicine Physician, NPI 1427286038
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for JONATHAN E WALTERS (M.D.)
1204 W 10th St
Metropolis, IL 629602433
Phone: (618) 524-3572
Fax: (618) 524-3496
Type: Location
28 Chick St
Metropolis, IL 629602467
Phone: (618) 524-2176
Fax: (618) 524-4131
Type: Location
Massac Memorial Hospital, 28, Chick Street, Metropolis, Massac County, Illinois, 62960, United States
METROPOLIS, IL 629602467
Phone: (618) 524-2176
Fax: (618) 524-4131
Type: Mailing
Chick Street, Metropolis, Massac County, Illinois, 62960, United States
METROPOLIS, IL 629602467
Phone: (618) 638-1343
Fax: (618) 638-1340
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-03-20
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 |
|---|---|---|---|---|
| I20180320001884 | I | Family Practice | IL | 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 62960)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KY | 83036 | Hemoglobin A1C level | 57 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Family Practice, Emergency Medicine | IL | |
| Physician Assistant | TN | |
| O T O L A R Y N G O L O G Y | KY | |
| Family Practice | GA | |
| P S Y C H I A T R Y | IN |
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