MR. ROBERT DANIEL WALKER (PA) – Surgical Physician Assistant, NPI 1639167703

MR. ROBERT DANIEL WALKER (PA) is a healthcare provider. based in Tyler, Texas. specializing in Surgical Physician Assistant. They hold the professional credentials PA. They hold a License No. PA01781 (TX). The NPI Number for MR. ROBERT DANIEL WALKER (PA) is 1639167703

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT DANIEL WALKER (PA)
NPI
1639167703
Phone
(903) 939-7500
Address
PO BOX 130189
Enumeration Date
12 October 2005
Last Update Date
21 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035101186
Graduation Year
1996 (30 years ago)
PAC ID
8729110911
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20100723000598
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 MR. ROBERT DANIEL WALKER (PA)

  • PO BOX 130189

    TYLER, TX 757130189

    Phone: (903) 939-7500

    Fax: (903) 939-7728

    Type: Mailing

  • 3414, Golden Road, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757018336

    Phone: (903) 939-7500

    Fax: (903) 939-7728

    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: 2010-07-23

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
I20100723000598IPhysician AssistantTXTBD

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
47563Removal of gallbladder with x-ray study of bile ducts using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 75713)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

How do payers reference MR. ROBERT DANIEL WALKER (PA)?
For MR. ROBERT DANIEL WALKER (PA), use NPI 1639167703 as the unique 10-digit identifier.
Active or inactive — what applies to MR. ROBERT DANIEL WALKER (PA)?
You should see MR. ROBERT DANIEL WALKER (PA) as active in CMS-hosted NPPES data.
How would a patient describe MR. ROBERT DANIEL WALKER (PA)'s focus?
For MR. ROBERT DANIEL WALKER (PA), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. ROBERT DANIEL WALKER (PA)?
Travel planning: use Tyler, Texas as the reference point for MR. ROBERT DANIEL WALKER (PA), then confirm.
When was this NPI issued?
Enumeration for MR. ROBERT DANIEL WALKER (PA) is noted as October 12, 2005 where the registry provides it.

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