DR. TIMOTHY O WALTNER (MD) – Diagnostic Radiology Physician, NPI 1114084522

DR. TIMOTHY O WALTNER (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 2005010786 (MO). The NPI Number for DR. TIMOTHY O WALTNER (MD) is 1114084522

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY O WALTNER (MD)
NPI
1114084522
Phone
(816) 691-5201
Address
2800 CLAY EDWARDS DR
Enumeration Date
3 January 2007
Last Update Date
3 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9136424900
Graduation Year
2001 (25 years ago)
PAC ID
5991804312
Group Practice PAC ID
4284689043
Professional Enrollment ID
I20070626000804
Address ID
MO641163220NX2800XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,218 DIAGNOSTIC RADIOLOGY in MO

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Provider Addresses for DR. TIMOTHY O WALTNER (MD)

  • North Kansas City Hospital, 2800, Clay Edwards Drive, North Kansas City, Clay County, Missouri, 64116, United States

    KANSAS CITY, MO 641163220

    Phone: (816) 691-5201

    Fax: (816) 346-7063

    Type: Location

  • PO BOX 419380 - DEPT 128

    KANSAS CITY, MO 641416380

    Phone: (913) 642-4900

    Fax: (913) 381-0979

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-16

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
I20070626000804IDiagnostic RadiologyMOTBD
I20250616003691IDiagnostic RadiologyKSTBD

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
71045X-ray of chest, 1 view414370$0
70450Ct scan head or brain without contrast229223$0
77067Screening mammography187187$0
77063Screening 3d breast mammography187187$0
74176Ct scan of abdomen and pelvis without contrast123121$0
View full utilization report →

Insurance plans in this area (ZIP 64116)

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Provider's Procedures

DR. TIMOTHY O WALTNER (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMO71250CT scan chest2323
DIAGNOSTIC RADIOLOGYMO74177CT scan of abdomen and pelvis with contrast109107
DIAGNOSTIC RADIOLOGYMO78815Nuclear medicine study with CT imaging skull base to mid-thigh2121
DIAGNOSTIC RADIOLOGYMO93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2424

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: 4284689043View full group profile
NameSpecialtyState
Diagnostic RadiologyKS
Diagnostic RadiologyMO
Diagnostic RadiologyKS
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
-MO

Reviews

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Frequently asked questions

How do payers reference DR. TIMOTHY O WALTNER (MD)?
For DR. TIMOTHY O WALTNER (MD), use NPI 1114084522 as the unique 10-digit identifier.
Would DR. TIMOTHY O WALTNER (MD) appear as active to a payer?
You can treat DR. TIMOTHY O WALTNER (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. TIMOTHY O WALTNER (MD)?
DR. TIMOTHY O WALTNER (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. TIMOTHY O WALTNER (MD) registered?
Use Kansas City, Missouri as the headline location for DR. TIMOTHY O WALTNER (MD) here.
Does DR. TIMOTHY O WALTNER (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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