DR. RUSTIN CHANC WALTERS (M.D.) – Urology Physician, NPI 1053381467
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
134 UROLOGY in OK
Provider Addresses for DR. RUSTIN CHANC WALTERS (M.D.)
10901 E 48TH ST
TULSA, OK 741465830
Phone: (918) 749-8765
Fax: (918) 392-2155
Type: Location
Naval Medical Center San Diego, 34800, Bob Wilson Drive, San Diego, San Diego County, California, 92101, United States
NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO, CA 921341098
Phone: (619) 532-6460
Fax: (619) 532-6299
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 102 Open Payments records for all available years, with a total value of $2,254.
Total Amount is formed as General ($2,254) + Research ($0) + Ownership ($0) = $2,254.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($347).
Total Amount
$2,254
General + Research + Ownership
Payments
102
Total payment records
General Amount
$2,254
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $347 |
| Bayer Healthcare Pharmaceuticals Inc. | $225 |
| Merck Sharp & Dohme LLC | $225 |
| Teleflex LLC | $174 |
| Sumitomo Pharma America, Inc. | $124 |
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: 2022-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20140425000947 | I | Urology | VA | TBD |
| I20220517000171 | I | Urology | AR | TBD |
| I20220517000219 | I | Urology | OK | TBD |
| I20220608001000 | I | Urology | 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 |
|---|---|---|---|---|
| J1071 | Injection, testosterone cypionate, 1 mg | 18,310 | 50 | $0 |
| J1644 | Injection, heparin sodium, per 1000 units | 261 | 11 | $0 |
| 81003 | Automated urinalysis test | 253 | 200 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 184 | 155 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 179 | 150 | $0 |
Insurance plans in this area (ZIP 74146)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | OK | |
| - | OK | |
| - | OK | |
| Family Practice | OK | |
| U R O L O G Y | OK | |
| Family Practice | OK | |
| Orthopedic Surgery | OK | |
| P O D I A T R Y | OK | |
| Nurse Practitioner | OK | |
| - | TX |
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