WALTER ELLISTON (M.D.) – Psychiatry Physician, NPI 1912902537

WALTER ELLISTON (M.D.) is a healthcare provider. based in Frisco, Texas. specializing in PSYCHIATRY, NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. L9683 (TX). The NPI Number for WALTER ELLISTON (M.D.) is 1912902537

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
WALTER ELLISTON (M.D.)
NPI
1912902537
Phone
(469) 800-5740
Address
3800 GAYLORD PKWY STE 830
Enumeration Date
20 June 2005
Last Update Date
16 May 2023

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
6103879861
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20050223000251
Address ID
TX752461608DA4001XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
welliston532743@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,132 PSYCHIATRY in TX

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Provider Addresses for WALTER ELLISTON (M.D.)

  • Gaylord Parkway, Hall Office Park, Frisco, Collin County, Texas, 75024, United States

    FRISCO, TX 750349419

    Phone: (469) 800-5740

    Fax: (469) 800-7545

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2023-05-19 • Largest payer in this snapshot: ABBVIE INC. ($51).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$51
Corium, LLC$6
View all Open Payments →|Open Payments Risk Radar →

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: 2005-02-23

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
I20050223000251IPsychiatryTXTBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes454113$0
99214Established patient office or other outpatient visit, 30-39 minutes373112$0
99213Established patient office or other outpatient visit, 20-29 minutes21893$0
99205New patient office or other outpatient visit, 60-74 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 75034)

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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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

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Frequently asked questions

Is there an official ID for WALTER ELLISTON (M.D.) in U.S. healthcare records?
The official identifier for WALTER ELLISTON (M.D.) is NPI 1912902537.
Is WALTER ELLISTON (M.D.) still an active registrant?
WALTER ELLISTON (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is WALTER ELLISTON (M.D.)?
WALTER ELLISTON (M.D.) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is WALTER ELLISTON (M.D.) registered?
Use Frisco, Texas as the headline location for WALTER ELLISTON (M.D.) here.
Does WALTER ELLISTON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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