PAUL G. JR. WALKER (PAC) – Physician Assistant, NPI 1417574427

PAUL G. JR. WALKER (PAC) is a healthcare provider. based in Cleveland, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 50.006470 (OH). The NPI Number for PAUL G. JR. WALKER (PAC) is 1417574427

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
PAUL G. JR. WALKER (PAC)
NPI
1417574427
Phone
(216) 778-7800
Address
2500 METROHEALTH DR
Enumeration Date
25 June 2020
Last Update Date
9 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3152653300
Graduation Year
2020 (6 years ago)
PAC ID
0840614731
Group Practice PAC ID
6204827280
Professional Enrollment ID
I20211130003058
Address ID
NY136761786PO50XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for PAUL G. JR. WALKER (PAC)

  • 2500 METROHEALTH DR

    CLEVELAND, OH 441091900

    Phone: (216) 778-7800

    Type: Location

  • 1656 EDDINGTON RD APT 2

    CLEVELAND HEIGHTS, OH 441181433

    Phone: (216) 777-0299

    Type: Mailing

  • 2500 Metrohealth Dr

    Cleveland, OH 441091900

    Phone: (216) 778-7800

    Type: Location

  • 601 State Route 664 N

    Logan, OH 431388541

    Phone: (740) 380-8000

    Type: Location

  • 50 LEROY ST

    POTSDAM, NY 136761799

    Phone: (315) 265-3300

    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: 2021-11-30

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
I20200724001350IPhysician AssistantOHTBD
I20211130003058IPhysician AssistantNYTBD

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
99285Emergency department visit with high level of medical decision making10397$0
99284Emergency department visit with moderate level of medical decision making9084$0
99213Established patient office or other outpatient visit, 20-29 minutes5050$0
99283Emergency department visit with low level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 44109)

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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: 6204827280View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YNY
Clinical Social WorkerNY
Physician AssistantFL
Vascular SurgeryNY
Certified Registered Nurse Anesthetist (Crna)NY
Pulmonary DiseaseNM
-NY
-OH
Physician AssistantOH
Hematology/Oncology, Medical OncologyNY

Reviews

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Frequently asked questions

What unique ID ties claims to PAUL G. JR. WALKER (PAC)?
NPI 1417574427 is assigned to PAUL G. JR. WALKER (PAC) under the national enumeration system.
Is PAUL G. JR. WALKER (PAC)'s NPI currently valid?
The extract we use shows PAUL G. JR. WALKER (PAC) as active.
What field does PAUL G. JR. WALKER (PAC) work in?
You can think of PAUL G. JR. WALKER (PAC) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for PAUL G. JR. WALKER (PAC)?
We surface Cleveland, Ohio for PAUL G. JR. WALKER (PAC) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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