DR. WALTER YAW AGYEMAN (MD) – Student in an Organized Health Care Education/Training Program, NPI 1295311082
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for DR. WALTER YAW AGYEMAN (MD)
4801 ALBERTA AVE
EL PASO, TX 799052707
Phone:
Type: Mailing
1270 Prince Ave Ste 201
Athens, GA 306062789
Phone: (706) 475-7055
Type: Location
1199 PRINCE AVE # 70
ATHENS, GA 306062797
Phone:
Type: Mailing
1270 PRINCE AVE STE 201
ATHENS, GA 306062789
Phone: (706) 475-7055
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $177.
Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.
Last reported payment date: 2024-04-07 • Largest payer in this snapshot: Novo Nordisk Inc ($103).
Total Amount
$177
General + Research + Ownership
Payments
2
Total payment records
General Amount
$177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $103 |
| Boston Scientific Corporation | $74 |
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: 2024-06-12
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 |
|---|---|---|---|---|
| I20240612000598 | I | Internal Medicine | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Pediatric Medicine, Internal Medicine | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Internal Medicine | GA |
Reviews
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