DR. KEITH D WALVOORD (MD) – Otolaryngology Physician, NPI 1013974583

DR. KEITH D WALVOORD (MD) is a healthcare provider. based in San angelo, Texas. specializing in Otolaryngology Physician. They hold the professional credentials MD. They hold a License No. G3891 (TX). The NPI Number for DR. KEITH D WALVOORD (MD) is 1013974583

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH D WALVOORD (MD)
NPI
1013974583
Phone
(325) 949-9555
Address
3605 EXECUTIVE DR
Enumeration Date
28 April 2006
Last Update Date
5 December 2018

Doctor Profile

Medical School Name
SOUTHWEST SCHOOL OF MEDICINE AND HOSPITAL
Secondary Phone
3259499555
Graduation Year
1982 (44 years ago)
PAC ID
7911976923
Group Practice PAC ID
0244143113
Professional Enrollment ID
I20091125000373
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

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Provider Addresses for DR. KEITH D WALVOORD (MD)

  • Executive Drive, San Angelo, Tom Green County, Texas, 76909, United States

    SAN ANGELO, TX 769046884

    Phone: (325) 949-9555

    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)

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76904)

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Provider's Procedures

DR. KEITH D WALVOORD (MD) performs procedures in Otolaryngology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYTX92540Observation, testing, and recording of abnormal eye movement1313
OTOLARYNGOLOGYTX95004Injection of allergenic extracts into skin, accessed through the skin122651

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: 0244143113View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. KEITH D WALVOORD (MD)?
For DR. KEITH D WALVOORD (MD), use NPI 1013974583 as the unique 10-digit identifier.
Is DR. KEITH D WALVOORD (MD) shown as active in public data?
Registry records indicate DR. KEITH D WALVOORD (MD) maintains an active NPI.
What expertise is attributed to DR. KEITH D WALVOORD (MD)?
DR. KEITH D WALVOORD (MD)'s specialty line reads Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is DR. KEITH D WALVOORD (MD) registered?
Use San Angelo, Texas as the headline location for DR. KEITH D WALVOORD (MD) here.
When was this NPI issued?
Enumeration for DR. KEITH D WALVOORD (MD) is noted as April 28, 2006 where the registry provides it.

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