DR. JUSTIN R WALTERS (DO) – Chiropractor, NPI 1497038640

DR. JUSTIN R WALTERS (DO) is a healthcare provider. based in Louisburg, Kansas. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 2024028238 (MO). The NPI Number for DR. JUSTIN R WALTERS (DO) is 1497038640

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN R WALTERS (DO)
NPI
1497038640
Phone
(913) 439-7485
Address
1410 N 4TH ST E
Enumeration Date
23 September 2011
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
8166461480
Graduation Year
2019 (7 years ago)
PAC ID
5092960252
Group Practice PAC ID
0143130393
Professional Enrollment ID
I20240821001935
Address ID
MO646012902CH2791XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

300 GENERAL SURGERY in KS

Provider Addresses for DR. JUSTIN R WALTERS (DO)

  • 1410 N 4TH ST E

    LOUISBURG, KS 660536459

    Phone: (913) 439-7485

    Type: Location

  • 2791 N WASHINGTON ST

    CHILLICOTHE, MO 646012902

    Phone: (660) 646-2682

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $299.

Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Medtronic, Inc. ($143).

Total Amount

$299

General + Research + Ownership

Payments

3

Total payment records

General Amount

$299

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

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: 2024-08-21

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
I20240821001935IGeneral SurgeryMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66053)

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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: 0143130393View full group profile
NameSpecialtyState
Emergency MedicineKS
-OR
General SurgeryIL
Nurse PractitionerMS
-MO
Emergency Medicine, General PracticeMO
Internal Medicine, Family PracticeMO
P O D I A T R YMO
-MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do payers reference DR. JUSTIN R WALTERS (DO)?
For DR. JUSTIN R WALTERS (DO), use NPI 1497038640 as the unique 10-digit identifier.
Is there an active status for DR. JUSTIN R WALTERS (DO)?
For scheduling context, DR. JUSTIN R WALTERS (DO) is shown as active in the registry.
What expertise is attributed to DR. JUSTIN R WALTERS (DO)?
DR. JUSTIN R WALTERS (DO)'s specialty line reads Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JUSTIN R WALTERS (DO)?
Directory geography for DR. JUSTIN R WALTERS (DO) centers on Louisburg, Kansas.
When was this NPI issued?
Enumeration for DR. JUSTIN R WALTERS (DO) is noted as September 23, 2011 where the registry provides it.

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