ROBERT EDMOND JR. WALTERS (MD) – Internal Medicine Physician, NPI 1174503890

ROBERT EDMOND JR. WALTERS (MD) is a healthcare provider. based in Norfolk, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 0101234417 (VA). The NPI Number for ROBERT EDMOND JR. WALTERS (MD) is 1174503890

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT EDMOND JR. WALTERS (MD)
NPI
1174503890
Phone
(757) 354-2885
Address
6160 KEMPSVILLE CIR STE 325A
Enumeration Date
19 January 2006
Last Update Date
4 August 2020

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7573542885
Graduation Year
1999 (27 years ago)
PAC ID
2668559337
Group Practice PAC ID
6103288170
Professional Enrollment ID
I20120105000247
Address ID
VA23502XXXXNOXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,930 INTERNAL MEDICINE in VA

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Provider Addresses for ROBERT EDMOND JR. WALTERS (MD)

  • Kempsville Circle, Glen Rock, Janaf, Norfolk, Virginia, 23502, United States

    NORFOLK, VA 235023933

    Phone: (757) 354-2885

    Fax: (757) 917-5141

    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 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2012-01-05

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
I20120105000247IInternal MedicineVATBD

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
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes302287$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes180174$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes7862$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6349$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi2721$0
View full utilization report →

Insurance plans in this area (ZIP 23502)

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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: 6103288170View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerOH
Clinical Social WorkerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

How is ROBERT EDMOND JR. WALTERS (MD) identified in CMS data?
CMS-hosted NPPES data lists ROBERT EDMOND JR. WALTERS (MD) with NPI 1174503890.
Can I rely on ROBERT EDMOND JR. WALTERS (MD) being an active provider?
As of the registry snapshot, ROBERT EDMOND JR. WALTERS (MD) is marked active.
What is ROBERT EDMOND JR. WALTERS (MD) best known for clinically?
Directory data describes ROBERT EDMOND JR. WALTERS (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does ROBERT EDMOND JR. WALTERS (MD) serve?
ROBERT EDMOND JR. WALTERS (MD)'s listing highlights Norfolk, Virginia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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