MR. MICHAEL SHANE WALTERS (MD, MPH) – Neuroradiology Physician, NPI 1386817294
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
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Provider Addresses for MR. MICHAEL SHANE WALTERS (MD, MPH)
1001, East Primrose Street, Springfield, Greene County, Missouri, 65807, United States
SPRINGFIELD, MO 658075155
Phone: (417) 875-3000
Type: Location
PO BOX 9007
SPRINGFIELD, MO 658089007
Phone: (417) 875-3000
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: 2009-07-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090708000025 | I | Diagnostic Radiology | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 626 | 580 | $0 |
| 72125 | Ct scan of upper spine without contrast | 195 | 191 | $0 |
| 70551 | Mri scan of brain without contrast | 173 | 169 | $0 |
| 70553 | Mri scan of brain before and after contrast | 142 | 136 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 125 | 125 | $0 |
Insurance plans in this area (ZIP 65807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | IL | |
| - | NC | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| O T O L A R Y N G O L O G Y | WA | |
| N E P H R O L O G Y | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO |
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