DR. RUSTIN CHANC WALTERS (M.D.) – Urology Physician, NPI 1053381467

DR. RUSTIN CHANC WALTERS (M.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 38512 (OK). The NPI Number for DR. RUSTIN CHANC WALTERS (M.D.) is 1053381467

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUSTIN CHANC WALTERS (M.D.)
NPI
1053381467
Phone
(918) 749-8765
Address
10901 E 48TH ST
Enumeration Date
26 January 2006
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9184216090
Graduation Year
2001 (25 years ago)
PAC ID
6507004033
Group Practice PAC ID
9931139029
Professional Enrollment ID
I20220517000219
Address ID
OK745014285MC4XXXXBLVD501
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

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140425000947IUrologyVATBD
I20220517000171IUrologyARTBD
I20220517000219IUrologyOKTBD
I20220608001000IUrologyMOTBD

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
J1071Injection, testosterone cypionate, 1 mg18,31050$0
J1644Injection, heparin sodium, per 1000 units26111$0
81003Automated urinalysis test253200$0
99214Established patient office or other outpatient visit, 30-39 minutes184155$0
51798Ultrasound measurement of bladder capacity after voiding179150$0
View full utilization report →

Insurance plans in this area (ZIP 74146)

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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: 9931139029View full group profile

Reviews

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Frequently asked questions

Does DR. RUSTIN CHANC WALTERS (M.D.) have a public NPI I can cite?
Public records show DR. RUSTIN CHANC WALTERS (M.D.) under NPI 1053381467.
Does the public listing show DR. RUSTIN CHANC WALTERS (M.D.) as active?
DR. RUSTIN CHANC WALTERS (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. RUSTIN CHANC WALTERS (M.D.)?
NPPES ties DR. RUSTIN CHANC WALTERS (M.D.) to Urology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. RUSTIN CHANC WALTERS (M.D.) tied to Tulsa, Oklahoma?
If you are local to Tulsa, Oklahoma, DR. RUSTIN CHANC WALTERS (M.D.) may be relevant to your search.
Who maintains DR. RUSTIN CHANC WALTERS (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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