DR. CHARLES RAYMOND WALKER (PH.D.) – Clinical Neuropsychologist, NPI 1609068071

DR. CHARLES RAYMOND WALKER (PH.D.) is a healthcare provider. based in Tyler, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 24103 (TX). The NPI Number for DR. CHARLES RAYMOND WALKER (PH.D.) is 1609068071

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES RAYMOND WALKER (PH.D.)
NPI
1609068071
Phone
(903) 877-7777
Address
11937 US Highway 271
Enumeration Date
9 August 2007
Last Update Date
31 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035926000
Graduation Year
1989 (37 years ago)
PAC ID
9931239183
Group Practice PAC ID
8729992052
Professional Enrollment ID
I20120703000296
Address ID
TX757015413TY2737XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. CHARLES RAYMOND WALKER (PH.D.)

  • 11937 US Highway 271

    Tyler, TX 757083154

    Phone: (903) 877-7777

    Type: Location

  • PO BOX 6605

    TYLER, TX 757116605

    Phone: (903) 592-6000

    Fax: (903) 592-3224

    Type: Mailing

  • 2737, South Broadway Avenue, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 75701

    Phone: (903) 592-6000

    Fax: (903) 592-3224

    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: 2012-07-03

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
I20120703000296IClinical PsychologistTXTBD

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
96137Administration of psychological or neuropsychological test, each additional 30 minutes17185$0
90791Psychiatric diagnostic evaluation8787$0
96136Administration of psychological or neuropsychological test, first 30 minutes8787$0
96130Evaluation of psychological test, first hour7979$0
View full utilization report →

Insurance plans in this area (ZIP 75708)

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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: 8729992052View full group profile
NameSpecialtyState
Physician AssistantOR
Anesthesiology, Pain ManagementTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
N E U R O S U R G E R YTX
Physical Medicine And RehabilitationTX
Anesthesiology, Pain ManagementTX
Physician AssistantTX
Pain Management, AnesthesiologyTX

Reviews

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Frequently asked questions

Does DR. CHARLES RAYMOND WALKER (PH.D.) have a public NPI I can cite?
Public records show DR. CHARLES RAYMOND WALKER (PH.D.) under NPI 1609068071.
Should I treat DR. CHARLES RAYMOND WALKER (PH.D.) as an active provider?
Patients and plans typically see DR. CHARLES RAYMOND WALKER (PH.D.) as active in the national extract.
What services align with DR. CHARLES RAYMOND WALKER (PH.D.)'s listing?
DR. CHARLES RAYMOND WALKER (PH.D.)'s public classification highlights Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. CHARLES RAYMOND WALKER (PH.D.)?
DR. CHARLES RAYMOND WALKER (PH.D.) shows a connection to Tyler, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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