MICHELLE COLLINS WALTERS (MD) – Dermatology Physician, NPI 1477538585

MICHELLE COLLINS WALTERS (MD) is a healthcare provider. based in Suffolk, Virginia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 01059900A (IN). The NPI Number for MICHELLE COLLINS WALTERS (MD) is 1477538585

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE COLLINS WALTERS (MD)
NPI
1477538585
Phone
(757) 967-0790
Address
1035 CHAMPIONS WAY STE 100
Enumeration Date
12 December 2005
Last Update Date
29 September 2022

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9187434046
Graduation Year
2003 (23 years ago)
PAC ID
9436397429
Group Practice PAC ID
4587602784
Professional Enrollment ID
I20220720003805
Address ID
OK741141722TU2424XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

471 DERMATOLOGY in VA

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Provider Addresses for MICHELLE COLLINS WALTERS (MD)

  • Champions Way, Suffolk, Virginia, 23435, United States

    SUFFOLK, VA 234353762

    Phone: (757) 967-0790

    Fax: (757) 967-0793

    Type: Mailing

  • 3131 S ZUNIS AVE

    TULSA, OK 741052232

    Phone: (619) 218-8358

    Fax: (918) 728-3376

    Type: Mailing

  • 2424 E 21ST ST STE 340

    TULSA, OK 741141722

    Phone: (918) 728-3100

    Fax: (918) 728-3376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,969.

Total Amount is formed as General ($1,969) + Research ($0) + Ownership ($0) = $1,969.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($671).

Total Amount

$1,969

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,969

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2022-07-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1020 days ago).

Enrollment records

2

Earliest due date

2023-08-31

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
I20130826001115IDermatologyVA2023-08-31
I20220720003805IDermatologyOKTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
17003Destruction of precancer skin growth, 2-14 growths653116$0
99213Established patient office or other outpatient visit, 20-29 minutes234170$0
17000Destruction of precancer skin growth, 1 growth232164$0
17110Destruction of skin growth, 1-14 growths143114$0
11102Biopsy of related skin growth, first growth138117$0
View full utilization report →

Insurance plans in this area (ZIP 23435)

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Provider's Procedures

MICHELLE COLLINS WALTERS (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYVA17003Destruction of 2-14 skin growths904192

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: 4587602784View full group profile
NameSpecialtyState
D E R M A T O L O G YOK
Physician AssistantTX
Dermatology, Micrographic Dermatologic Surgery (Mds)ID
Physician AssistantOK
D E R M A T O L O G YOK
D E R M A T O L O G YOK

Reviews

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Frequently asked questions

How do payers reference MICHELLE COLLINS WALTERS (MD)?
For MICHELLE COLLINS WALTERS (MD), use NPI 1477538585 as the unique 10-digit identifier.
Is there an active status for MICHELLE COLLINS WALTERS (MD)?
For scheduling context, MICHELLE COLLINS WALTERS (MD) is shown as active in the registry.
What clinical focus is listed for MICHELLE COLLINS WALTERS (MD)?
At a glance, MICHELLE COLLINS WALTERS (MD) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is MICHELLE COLLINS WALTERS (MD) located near Suffolk?
MICHELLE COLLINS WALTERS (MD) currently maps to Suffolk, Virginia in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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