DR. RENEE A WALKER (DO) – Pediatric Otolaryngology Physician, NPI 1417949488

DR. RENEE A WALKER (DO) is a healthcare provider. based in Joplin, Missouri. specializing in OTOLARYNGOLOGY. They hold the professional credentials DO. They hold a License No. 104366 (MO). The NPI Number for DR. RENEE A WALKER (DO) is 1417949488

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENEE A WALKER (DO)
NPI
1417949488
Phone
(417) 781-4613
Address
1920 E 32ND ST
Enumeration Date
16 August 2005
Last Update Date
26 March 2025

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
4177814613
Graduation Year
1992 (34 years ago)
PAC ID
1052389178
Group Practice PAC ID
1153340278
Professional Enrollment ID
I20040917000026
Address ID
MO648044103JO1920XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

320 OTOLARYNGOLOGY in MO

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Provider Addresses for DR. RENEE A WALKER (DO)

  • 1920, East 32nd Street, Gateway Drive, Joplin, Newton County, Missouri, 64804, United States

    JOPLIN, MO 648044103

    Phone: (417) 781-4613

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $417.

Total Amount is formed as General ($417) + Research ($0) + Ownership ($0) = $417.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($255).

Total Amount

$417

General + Research + Ownership

Payments

18

Total payment records

General Amount

$417

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2004-09-17

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
I20040917000026IOtolaryngologyMOTBD

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
95004Test for allergy using allergenic extract1,22432$0
95024Test for allergy using allergenic extract injected into skin1,21632$0
95165Professional service for preparation and provision of 1 or more antigens1,02020$0
95117Professional service for multiple injections of allergen33516$0
69210Removal of impacted ear wax231135$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

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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: 1153340278View full group profile
NameSpecialtyState
Qualified AudiologistMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is DR. RENEE A WALKER (DO) listed with a National Provider Identifier?
Yes — DR. RENEE A WALKER (DO) has NPI 1417949488 on file in the registry.
Would DR. RENEE A WALKER (DO) appear as active to a payer?
You can treat DR. RENEE A WALKER (DO) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. RENEE A WALKER (DO)'s focus?
For DR. RENEE A WALKER (DO), the primary taxonomy reads as Pediatric Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. RENEE A WALKER (DO)?
Travel planning: use Joplin, Missouri as the reference point for DR. RENEE A WALKER (DO), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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