WILLIAM J WALTERS (D.O.) – Psychiatry Physician, NPI 1699772442

WILLIAM J WALTERS (D.O.) is a healthcare provider. based in Grand rapids, Michigan. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 5101011070 (MI). The NPI Number for WILLIAM J WALTERS (D.O.) is 1699772442

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM J WALTERS (D.O.)
NPI
1699772442
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
7 July 2005
Last Update Date
12 January 2012

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
6164555000
Graduation Year
1990 (36 years ago)
PAC ID
5799746715
Group Practice PAC ID
4981506508
Professional Enrollment ID
I20100825000856
Address ID
MI495486927GR300XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,213 PSYCHIATRY in MI

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Provider Addresses for WILLIAM J WALTERS (D.O.)

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 1179, East Paris Avenue Southeast, Grand Rapids Charter Township, Kent County, Michigan, 49546, United States

    SUITE 220

    GRAND RAPIDS, MI 495463682

    Phone: (616) 454-2004

    Fax: (616) 454-0061

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $316.

Total Amount is formed as General ($316) + Research ($0) + Ownership ($0) = $316.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($248).

Total Amount

$316

General + Research + Ownership

Payments

4

Total payment records

General Amount

$316

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2010-08-25

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
I20100825000856IPsychiatryMITBD

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 49503)

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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: 4981506508View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerIA
P S Y C H I A T R YMI
Clinical PsychologistMI
-MI
Mental Health CounselorMI
Clinical Social WorkerNY
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What NPI should I save for WILLIAM J WALTERS (D.O.)?
Save NPI 1699772442 if you need a stable reference for WILLIAM J WALTERS (D.O.).
Is WILLIAM J WALTERS (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does WILLIAM J WALTERS (D.O.) work in?
You can think of WILLIAM J WALTERS (D.O.) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place WILLIAM J WALTERS (D.O.)?
The snapshot lists Grand Rapids, Michigan for WILLIAM J WALTERS (D.O.); download NPPES for the complete set.
What if Grand Rapids, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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