DR. ADAM R WALTHALL (M.D.) – Anesthesiology Physician, NPI 1114941259

DR. ADAM R WALTHALL (M.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01057200 (IN). The NPI Number for DR. ADAM R WALTHALL (M.D.) is 1114941259

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM R WALTHALL (M.D.)
NPI
1114941259
Phone
(317) 566-1000
Address
450 E 96TH ST STE 200
Enumeration Date
26 July 2006
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3175285000
Graduation Year
1999 (27 years ago)
PAC ID
5991746802
Group Practice PAC ID
6800837980
Professional Enrollment ID
I20050519001094
Address ID
IN462378601IN8111XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,446 ANESTHESIOLOGY in IN

Provider Addresses for DR. ADAM R WALTHALL (M.D.)

  • 450 E 96TH ST STE 200

    INDIANAPOLIS, IN 462403797

    Phone: (317) 566-1000

    Fax: (317) 566-1700

    Type: Mailing

  • 8111 S EMERSON AVE

    INDIANAPOLIS, IN 462378601

    Phone: (317) 566-1000

    Type: Location

  • Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States

    DEPT 107

    INDIANAPOLIS, IN 462066069

    Phone: (317) 567-2180

    Fax: (317) 567-2191

    Type: Mailing

  • 1600, Albany Street, Indianapolis, Marion, Indiana, 46107, United States

    BEECH GROVE, IN 461071541

    Phone: (317) 567-2179

    Fax: (317) 567-2191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$17
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: 2005-05-19

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
I20050519001094IAnesthesiologyINTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3131$0
64488Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance2020$0
00812Anesthesia for exam of colon using an endoscope1515$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1313$0
View full utilization report →

Insurance plans in this area (ZIP 46240)

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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: 6800837980View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
Anesthesiology, Pain ManagementIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN

Reviews

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Frequently asked questions

Is DR. ADAM R WALTHALL (M.D.) listed with a National Provider Identifier?
Yes — DR. ADAM R WALTHALL (M.D.) has NPI 1114941259 on file in the registry.
Would DR. ADAM R WALTHALL (M.D.) appear as active to a payer?
You can treat DR. ADAM R WALTHALL (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. ADAM R WALTHALL (M.D.)?
DR. ADAM R WALTHALL (M.D.)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ADAM R WALTHALL (M.D.)?
Directory geography for DR. ADAM R WALTHALL (M.D.) centers on Indianapolis, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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