BRUCE F WALLER (MD) – Cardiovascular Disease Physician, NPI 1114983095

BRUCE F WALLER (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 01031898A (IN). The NPI Number for BRUCE F WALLER (MD) is 1114983095

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE F WALLER (MD)
NPI
1114983095
Phone
(317) 338-6666
Address
8333 NAAB RD STE 420
Enumeration Date
21 April 2006
Last Update Date
20 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3175837600
Graduation Year
1973 (53 years ago)
PAC ID
9739164179
Group Practice PAC ID
7012047640
Professional Enrollment ID
I20040621001249
Address ID
IN462602193IN8433XRDXX301

Contacts

Secure Messaging
bruce.waller.1@7598.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

725 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IN

Provider Addresses for BRUCE F WALLER (MD)

  • 8333 NAAB RD STE 420

    INDIANAPOLIS, IN 462601992

    Phone: (317) 338-6666

    Type: Location

  • 300 North Meridian, 300, North Meridian Street, Indianapolis, Marion, Indiana, 46204, United States

    INDIANAPOLIS, IN 462901024

    Phone:

    Type: Mailing

  • Naab Road, Indianapolis, Indiana, 46260, United States

    INDIANAPOLIS, IN 462601992

    Phone: (317) 338-6666

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($66).

Total Amount

$113

General + Research + Ownership

Payments

6

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

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: 2004-06-21

PECOS data refreshed: 2026-06-15

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
I20040621001249ICardiovascular Disease (Cardiology)INTBD

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
80053Blood test, comprehensive group of blood chemicals5,8344,778$0
80061Blood test, lipids (cholesterol and triglycerides)5,4994,693$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4,7994,008$0
84443Blood test, thyroid stimulating hormone (tsh)3,8543,325$0
83036Hemoglobin a1c level3,2502,690$0
View full utilization report →

Insurance plans in this area (ZIP 46260)

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Provider's Procedures

BRUCE F WALLER (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IN83036Hemoglobin A1C level44683128
CARDIOVASCULAR DISEASE (CARDIOLOGY)IN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2525

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: 7012047640View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
-IN
Pulmonary Disease, Critical Care (Intensivists)IN
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
Internal MedicineIN
Family PracticeIN
Cardiovascular Disease (Cardiology)IN
Cardiovascular Disease (Cardiology), Internal MedicineIN
Interventional Cardiology, Cardiovascular Disease (Cardiology)IN

Reviews

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Frequently asked questions

What is the registry number for BRUCE F WALLER (MD)?
The registry entry for BRUCE F WALLER (MD) shows NPI 1114983095.
Should I treat BRUCE F WALLER (MD) as an active provider?
Patients and plans typically see BRUCE F WALLER (MD) as active in the national extract.
What type of care does BRUCE F WALLER (MD) provide?
BRUCE F WALLER (MD)'s profile centers on Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to BRUCE F WALLER (MD)?
BRUCE F WALLER (MD) shows a connection to Indianapolis, Indiana in registry-derived data.
Who maintains BRUCE F WALLER (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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