DR. BRENDA SUE WALLER (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1093794133
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
346 PHYSICAL MEDICINE AND REHABILITATION in VA
Provider Addresses for DR. BRENDA SUE WALLER (M.D.)
2600 MEMORIAL AVE SUITE 201B
LYNCHBURG, VA 24501
Phone: (434) 528-0896
Fax: (434) 528-0896
Type: Location
1935, Thomson Drive, Tate Springs, Lynchburg, Virginia, 24501, United States
LYNCHBURG, VA 245011008
Phone: (434) 528-0896
Fax: (434) 528-0898
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $483.
Total Amount is formed as General ($483) + Research ($0) + Ownership ($0) = $483.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($379).
Total Amount
$483
General + Research + Ownership
Payments
32
Total payment records
General Amount
$483
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Collegium Pharmaceutical, Inc. | $379 |
| ABBVIE INC. | $67 |
| Lilly USA, LLC | $37 |
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: 2004-04-21
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 |
|---|---|---|---|---|
| I20040421000341 | I | Physical Medicine And Rehabilitation | VA | 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 |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 399 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 159 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 154 | 62 | $0 |
Insurance plans in this area (ZIP 24501)
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