JAMES TYREILL WALTERS (DO) – Emergency Medicine Physician, NPI 1134610595

JAMES TYREILL WALTERS (DO) is a healthcare provider. based in Monroe, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101023968 (MI). The NPI Number for JAMES TYREILL WALTERS (DO) is 1134610595

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JAMES TYREILL WALTERS (DO)
NPI
1134610595
Phone
(734) 240-8400
Address
718 N MACOMB ST
Enumeration Date
22 May 2018
Last Update Date
6 March 2021

Doctor Profile

Medical School Name
AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Secondary Phone
5674082002
Graduation Year
2018 (8 years ago)
PAC ID
0345642518
Group Practice PAC ID
7416365630
Professional Enrollment ID
I20210709002065
Address ID
OH436063895TO2142XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for JAMES TYREILL WALTERS (DO)

  • ProMedica Monroe Regional Hospital, 718, North Macomb Street, Monroe, Frenchtown Township, Monroe County, Michigan, 48162, United States

    MONROE, MI 481627815

    Phone: (734) 240-8400

    Fax: (734) 240-1997

    Mailing address matches the actual address.

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 $176.

Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Inari Medical, Inc. ($176).

Total Amount

$176

General + Research + Ownership

Payments

1

Total payment records

General Amount

$176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$176
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: 2021-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210709002065IEmergency MedicineOHTBD
I20210714001694IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making332318$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only224204$0
99284Emergency department visit with moderate level of medical decision making203199$0
99291Critical care, first 30-74 minutes7270$0
99283Emergency department visit with low level of medical decision making4040$0
View full utilization report →

Insurance plans in this area (ZIP 48162)

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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: 7416365630View full group profile
NameSpecialtyState
Nurse PractitionerOH
Emergency MedicineOH
Physician AssistantOH
Emergency MedicineOH
Nurse PractitionerOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the registry number for JAMES TYREILL WALTERS (DO)?
The registry entry for JAMES TYREILL WALTERS (DO) shows NPI 1134610595.
Is JAMES TYREILL WALTERS (DO)'s NPI status active today?
Active status means JAMES TYREILL WALTERS (DO)'s NPI record is not deactivated in the public file.
What does the directory say JAMES TYREILL WALTERS (DO) does?
Insurance directories may phrase it differently, but here JAMES TYREILL WALTERS (DO) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JAMES TYREILL WALTERS (DO)?
JAMES TYREILL WALTERS (DO) is associated with Monroe, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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