BRIAN LEE WALTERS (M.D.) – Orthopaedic Surgery Physician, NPI 1114241882

BRIAN LEE WALTERS (M.D.) is a healthcare provider. based in Woodbury, Minnesota. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 60003 (MN). The NPI Number for BRIAN LEE WALTERS (M.D.) is 1114241882

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN LEE WALTERS (M.D.)
NPI
1114241882
Phone
Not provided
Address
710 COMMERCE DR STE 200
Enumeration Date
24 March 2010
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6519685201
Graduation Year
2008 (18 years ago)
PAC ID
8628203502
Group Practice PAC ID
8921900374
Professional Enrollment ID
I20151209002182
Address ID
MN554463675PL15700NXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

819 ORTHOPEDIC SURGERY in MN

Provider Addresses for BRIAN LEE WALTERS (M.D.)

  • 710 COMMERCE DR STE 200

    WOODBURY, MN 551254925

    Phone:

    Type: Mailing

  • 15700 37TH AVE N STE 150

    PLYMOUTH, MN 554463675

    Phone: (651) 968-5201

    Fax: (651) 968-5903

    Type: Location

  • 9555, Upland Lane North, Maple Grove, Hennepin County, Minnesota, 55369, United States

    MAPLE GROVE, MN 553694485

    Phone: (952) 806-5600

    Fax: (952) 993-1453

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $3,850.

Total Amount is formed as General ($3,850) + Research ($0) + Ownership ($0) = $3,850.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Arthrex, Inc. ($2,759).

Total Amount

$3,850

General + Research + Ownership

Payments

46

Total payment records

General Amount

$3,850

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2015-12-09

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
I20151209002182IOrthopedic SurgeryMNTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10442$0
20610Aspiration and/or injection of fluid from large joint5444$0
73030X-ray of shoulder, minimum of 2 views5036$0
99213Established patient office or other outpatient visit, 20-29 minutes4938$0
99214Established patient office or other outpatient visit, 30-39 minutes4440$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

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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: 8921900374View full group profile
NameSpecialtyState
-MN
-MN
-MN
-MN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Does BRIAN LEE WALTERS (M.D.) have a public NPI I can cite?
Public records show BRIAN LEE WALTERS (M.D.) under NPI 1114241882.
Should I treat BRIAN LEE WALTERS (M.D.) as an active provider?
Patients and plans typically see BRIAN LEE WALTERS (M.D.) as active in the national extract.
What services align with BRIAN LEE WALTERS (M.D.)'s listing?
BRIAN LEE WALTERS (M.D.)'s public classification highlights Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit BRIAN LEE WALTERS (M.D.) in Woodbury, Minnesota?
For routing, start with Woodbury, Minnesota for BRIAN LEE WALTERS (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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