DR. STEPHEN DALE WALTER (DC) – Chiropractor, NPI 1184276545

DR. STEPHEN DALE WALTER (DC) is a healthcare provider. based in Clackamas, Oregon. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6012 (OR). The NPI Number for DR. STEPHEN DALE WALTER (DC) is 1184276545

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN DALE WALTER (DC)
NPI
1184276545
Phone
(503) 698-7872
Address
12034 SE SUNNYSIDE RD
Enumeration Date
15 July 2019
Last Update Date
13 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033042225
Graduation Year
2019 (7 years ago)
PAC ID
5799170189
Group Practice PAC ID
6204739337
Professional Enrollment ID
I20220322001634
Address ID
OR973034648KE4630XAXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

709 CHIROPRACTIC in OR

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Provider Addresses for DR. STEPHEN DALE WALTER (DC)

  • Manual Medicine, 12034, Southeast Sunnyside Road, Happy Valley, Metro, Clackamas County, Oregon, 97015, United States

    CLACKAMAS, OR 970158382

    Phone: (503) 698-7872

    Type: Location

  • 4630 RIVER RD N

    KEIZER, OR 973034648

    Phone: (503) 304-2225

    Fax: (503) 304-2226

    Type: Location

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: 2022-03-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220322001634IChiropracticORTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions10723$0
View full utilization report →

Insurance plans in this area (ZIP 97015)

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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: 6204739337View full group profile

Reviews

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Frequently asked questions

What is DR. STEPHEN DALE WALTER (DC)'s NPI number?
DR. STEPHEN DALE WALTER (DC)'s NPI is 1184276545 — the number used across U.S. healthcare to identify this provider.
Is DR. STEPHEN DALE WALTER (DC) still an active registrant?
DR. STEPHEN DALE WALTER (DC) carries an active NPI according to the public dataset.
What kind of doctor is DR. STEPHEN DALE WALTER (DC)?
DR. STEPHEN DALE WALTER (DC) is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
Where in Oregon is DR. STEPHEN DALE WALTER (DC) registered?
Use Clackamas, Oregon as the headline location for DR. STEPHEN DALE WALTER (DC) here.
Can I trust this NPI listing for DR. STEPHEN DALE WALTER (DC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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