JEFFREY SCOTT WALTER (PA-C) – Physician Assistant, NPI 1184622144
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
Provider Addresses for JEFFREY SCOTT WALTER (PA-C)
9600 BROADWAY EXT
OKLAHOMA CITY, OK 731147408
Phone: (405) 230-9000
Fax: (405) 230-9175
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 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-03-01 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $14 |
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: 2010-05-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100512000329 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 328 | 183 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 133 | 124 | $0 |
| 73564 | X-ray of knee, 4 or more views | 99 | 81 | $0 |
| 73502 | X-ray of hip, 2-3 views | 94 | 73 | $0 |
| 71046 | X-ray of chest, 2 views | 88 | 83 | $0 |
Insurance plans in this area (ZIP 73114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OK | 20610 | Aspiration and/or injection of large joint or joint capsule | 208 | 108 |
| PHYSICIAN ASSISTANT | OK | 27447 | Repair of knee joint | 86 | 79 |
| PHYSICIAN ASSISTANT | OK | 73562 | X-ray of knee, 3 views | 87 | 70 |
| PHYSICIAN ASSISTANT | OK | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 52 | 52 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Hand Surgery | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Orthopedic Surgery | OK | |
| Family Practice, Sports Medicine | OK | |
| Physician Assistant | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| P O D I A T R Y | OK |
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