DR. WALTER HENRY HALLORAN (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1053486191
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
140 THORACIC SURGERY in IN
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Provider Addresses for DR. WALTER HENRY HALLORAN (MD)
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Fax: (574) 237-6069
Type: Mailing
230, Arcade Avenue, Elkhart, Elkhart County, Indiana, 46514, United States
ELKHART, IN 465142485
Phone: (574) 522-6565
Fax: (574) 522-5572
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $1,628.
Total Amount is formed as General ($1,628) + Research ($0) + Ownership ($0) = $1,628.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($454).
Total Amount
$1,628
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,628
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $454 |
| Medtronic, Inc. | $334 |
| Abbott Laboratories | $287 |
| ABIOMED | $127 |
| Ethicon Inc. | $120 |
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: 2010-09-13
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 |
|---|---|---|---|---|
| I20100913000181 | I | Thoracic Surgery | IN | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 90 | 90 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 42 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 29 | $0 |
| 35301 | Removal of blood clot and portion of chest, neck, or brain artery | 29 | 26 | $0 |
| 33508 | Harvest of vein using an endoscope | 25 | 25 | $0 |
Insurance plans in this area (ZIP 46617)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN | |
| - | IN |
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