WALTER L GADBERRY (M. D.) – Surgery Physician, NPI 1912955626

WALTER L GADBERRY (M. D.) is a healthcare provider. based in Durant, Oklahoma. specializing in GENERAL SURGERY, EMERGENCY MEDICINE. They hold the professional credentials M. D.. They hold a License No. 19690 (OK). The NPI Number for WALTER L GADBERRY (M. D.) is 1912955626

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
WALTER L GADBERRY (M. D.)
NPI
1912955626
Phone
(580) 256-2820
Address
1400 BRYAN DR. SUITE 307
Enumeration Date
5 May 2006
Last Update Date
3 April 2014

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
8064675350
Graduation Year
1991 (35 years ago)
PAC ID
1658455308
Group Practice PAC ID
0042303232
Professional Enrollment ID
I20190218000348
Address ID
TX790074406BO50XXXPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

354 GENERAL SURGERY in OK

Provider Addresses for WALTER L GADBERRY (M. D.)

  • 1400 BRYAN DR. SUITE 307

    DURANT, OK 74701

    Phone: (580) 256-2820

    Fax: (580) 256-7336

    Type: Mailing

  • 1400 BRYAN DR STE 307

    DURANT, OK 747012158

    Phone: (580) 256-2820

    Fax: (580) 256-7336

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Smith+Nephew, Inc. ($23).

Total Amount

$59

General + Research + Ownership

Payments

3

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-02-18

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
I20080220000181IGeneral SurgeryOKTBD
I20190218000348IGeneral SurgeryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2016$0
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 74701)

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Provider's Procedures

WALTER L GADBERRY (M. D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYOK45385Removal of polyps or growths of large bowel using an endoscope2121

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: 0042303232View full group profile
NameSpecialtyState
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Family PracticeTX
-TX
-TX

Reviews

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Frequently asked questions

Where can patients find WALTER L GADBERRY (M. D.)'s NPI?
You can confirm WALTER L GADBERRY (M. D.) with NPI 1912955626; it appears in the national provider directory.
Is WALTER L GADBERRY (M. D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does WALTER L GADBERRY (M. D.) treat or focus on?
Patients typically see WALTER L GADBERRY (M. D.) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place WALTER L GADBERRY (M. D.)?
The snapshot lists Durant, Oklahoma for WALTER L GADBERRY (M. D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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