MARK R WALTERS (MD) – Diagnostic Radiology Physician, NPI 1649301920
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
933 DIAGNOSTIC RADIOLOGY in CO
Provider Addresses for MARK R WALTERS (MD)
PO BOX 394
GRETNA, NE 680280394
Phone: (877) 406-2916
Type: Mailing
1010 THREE SPRINGS BLVD
DURANGO, CO 813018296
Phone: (970) 764-2286
Type: Location
8020 CONSTITUTION PL NE STE 202
ALBUQUERQUE, NM 871107640
Phone: (505) 998-3096
Fax: (505) 998-3100
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: 2018-03-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111201000555 | I | Diagnostic Radiology | CO | TBD |
| I20180320000956 | I | Diagnostic Radiology | NM | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68028)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CO | 20610 | Aspiration and/or injection of large joint or joint capsule | 16 | 16 |
| DIAGNOSTIC RADIOLOGY | CO | 71010 | X-ray of chest, 1 view, front | 361 | 272 |
| DIAGNOSTIC RADIOLOGY | CO | 73630 | X-ray of foot, minimum of 3 views | 56 | 50 |
| DIAGNOSTIC RADIOLOGY | CO | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CO | |
| Internal Medicine, Hospitalist | WV | |
| - | NM | |
| Hospitalist, Osteopathic Manipulative Medicine, Family Practice | CO | |
| - | CO | |
| Cardiovascular Disease (Cardiology) | TX | |
| General Surgery | TN | |
| Diagnostic Radiology | CA |
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