DR. WALTER LEE MICKEY (D.O.) – Internal Medicine Physician, NPI 1306109384

DR. WALTER LEE MICKEY (D.O.) is a healthcare provider. based in Kirkwood, Missouri. specializing in INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials D.O.. They hold a License No. 2014011937 (MO). The NPI Number for DR. WALTER LEE MICKEY (D.O.) is 1306109384

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. WALTER LEE MICKEY (D.O.)
NPI
1306109384
Phone
(541) 680-7999
Address
930 BISHOPS GATE LN
Enumeration Date
24 June 2012
Last Update Date
23 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362374200
Graduation Year
2012 (14 years ago)
PAC ID
9032426911
Group Practice PAC ID
6901188572
Professional Enrollment ID
I20160105000160
Address ID
MO630172004CH15740RDXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

Provider Addresses for DR. WALTER LEE MICKEY (D.O.)

  • 930 BISHOPS GATE LN

    APT J

    KIRKWOOD, MO 631226489

    Phone: (541) 680-7999

    Type: Mailing

  • 2345 DOUGHERTY FERRY RD

    SAINT LOUIS, MO 631223313

    Phone: (314) 966-9491

    Type: Location

  • 407 HILLINGTON DR

    EUREKA, MO 630251089

    Phone: (541) 680-8220

    Type: Mailing

  • 621 S BALLAS RD STE 7020

    SAINT LOUIS, MO 631225314

    Phone: (314) 251-6000

    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 $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Amgen Inc. ($30).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2016-01-05

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
I20160105000160IInternal MedicineMOTBD

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
99291Critical care, first 30-74 minutes17162$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4127$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3326$0
View full utilization report →

Insurance plans in this area (ZIP 63122)

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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: 6901188572View full group profile
NameSpecialtyState
Hospitalist, Internal Medicine, Internal MedicineIL
Emergency MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO
N E U R O L O G YAR
Internal MedicineMO

Reviews

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Frequently asked questions

Is DR. WALTER LEE MICKEY (D.O.) listed with a National Provider Identifier?
Yes — DR. WALTER LEE MICKEY (D.O.) has NPI 1306109384 on file in the registry.
Is DR. WALTER LEE MICKEY (D.O.) still an active registrant?
DR. WALTER LEE MICKEY (D.O.) carries an active NPI according to the public dataset.
What kind of doctor is DR. WALTER LEE MICKEY (D.O.)?
DR. WALTER LEE MICKEY (D.O.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. WALTER LEE MICKEY (D.O.)?
Travel planning: use Kirkwood, Missouri as the reference point for DR. WALTER LEE MICKEY (D.O.), then confirm.
Does DR. WALTER LEE MICKEY (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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