DUSTIN M WALTERS (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1114122405

DUSTIN M WALTERS (MD) is a healthcare provider. based in Charlottesville, Virginia. specializing in THORACIC SURGERY. They hold the professional credentials MD. They hold a License No. 0101256181 (VA). The NPI Number for DUSTIN M WALTERS (MD) is 1114122405

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN M WALTERS (MD)
NPI
1114122405
Phone
Not provided
Address
PO BOX 9007
Enumeration Date
18 June 2007
Last Update Date
19 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
8606797503
Graduation Year
2007 (19 years ago)
PAC ID
7315176187
Group Practice PAC ID
3678472016
Professional Enrollment ID
I20231214003222
Address ID
CT060300001FA263XXAVEX300

Contacts

Secure Messaging
dwalters74507@direct.med.uchc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:18State licenses:3Other namesUpdated within 12 months

128 THORACIC SURGERY in VA

Provider Addresses for DUSTIN M WALTERS (MD)

  • PO BOX 9007

    CHARLOTTESVILLE, VA 229069007

    Phone:

    Type: Mailing

  • 1240 Lee St

    Charlottesville, VA 229080001

    Phone: (434) 243-6828

    Fax: (434) 243-5781

    Type: Location

  • 1240, Lee Street, Jefferson Park Avenue, Starr Hill, Charlottesville, Virginia, 22903, United States

    CHARLOTTESVILLE, VA 229080001

    Phone: (434) 243-6828

    Fax: (434) 243-5781

    Type: Location

  • 263 FARMINGTON AVENUE

    FARMINGTON, CT 060308063

    Phone: (860) 679-8080

    Fax: (860) 667-9143

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $3,085.

Total Amount is formed as General ($3,085) + Research ($0) + Ownership ($0) = $3,085.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,086).

Total Amount

$3,085

General + Research + Ownership

Payments

23

Total payment records

General Amount

$3,085

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190510001791IThoracic SurgeryMATBD
I20231214003222IThoracic SurgeryCTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6852$0
99205New patient office or other outpatient visit, 60-74 minutes5656$0
99214Established patient office or other outpatient visit, 30-39 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 22906)

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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: 3678472016View full group profile
NameSpecialtyState
N E U R O S U R G E R YNY
E N D O C R I N O L O G YVA
Orthopedic SurgeryCT
Orthopedic SurgeryCT
Endocrinology, Internal MedicineCT
Critical Care (Intensivists)CT
Hospitalist, Internal MedicineCT
Gynecological OncologyNY
Physician AssistantCT
Hand Surgery, Orthopedic SurgeryCT

Reviews

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Frequently asked questions

What number should I use to identify DUSTIN M WALTERS (MD) for billing?
Administrative and clinical systems typically use NPI 1114122405 for DUSTIN M WALTERS (MD).
Is DUSTIN M WALTERS (MD) currently accepting referrals based on NPI status?
Registry metadata lists DUSTIN M WALTERS (MD) as active.
What does the directory say DUSTIN M WALTERS (MD) does?
Insurance directories may phrase it differently, but here DUSTIN M WALTERS (MD) maps to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DUSTIN M WALTERS (MD)?
The directory associates DUSTIN M WALTERS (MD) with Charlottesville, Virginia. Check all listed addresses for suites or satellite offices.
Can I export DUSTIN M WALTERS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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