COURTNEY WALTERS (M.D,) – Obstetrics & Gynecology Physician, NPI 1063495554
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,164 OBSTETRICS/GYNECOLOGY in TX
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Provider Addresses for COURTNEY WALTERS (M.D,)
1625, Lancaster Drive, Grapevine, Tarrant County, Texas, 76051, United States
GRAPEVINE, TX 760513545
Phone: (817) 416-2229
Fax: (817) 416-3667
Type: Mailing
3025 N TARRANT PKWY STE 150
FORT WORTH, TX 761778633
Phone: (817) 416-2229
Fax: (817) 416-3667
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $2,916.
Total Amount is formed as General ($2,916) + Research ($0) + Ownership ($0) = $2,916.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: MIMEDX Group, Inc. ($1,624).
Total Amount
$2,916
General + Research + Ownership
Payments
64
Total payment records
General Amount
$2,916
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $1,624 |
| ABBVIE INC. | $196 |
| SHIELD THERAPEUTICS INC | $156 |
| PFIZER INC. | $116 |
| Sumitomo Pharma America, Inc. | $87 |
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: 2010-09-02
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 |
|---|---|---|---|---|
| I20100902000906 | I | Obstetrics/Gynecology | TX | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 27 | 27 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 18 | 18 | $0 |
Insurance plans in this area (ZIP 76051)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
Reviews
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