MR. LUKE M WALTERS (PA-C) – Medical Physician Assistant, NPI 1043577562

MR. LUKE M WALTERS (PA-C) is a healthcare provider. based in Mount vernon, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. OA60738463 (WA). The NPI Number for MR. LUKE M WALTERS (PA-C) is 1043577562

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. LUKE M WALTERS (PA-C)
NPI
1043577562
Phone
(360) 428-2500
Address
1400 E KINCAID ST
Enumeration Date
20 April 2012
Last Update Date
3 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2197643600
Graduation Year
2011 (15 years ago)
PAC ID
0941449045
Group Practice PAC ID
7911043054
Professional Enrollment ID
I20211206002504
Address ID
IN463684488PO3190XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for MR. LUKE M WALTERS (PA-C)

  • 1400 E KINCAID ST

    ATTN: CREDENTIALING

    MOUNT VERNON, WA 982744127

    Phone: (360) 428-2500

    Fax: (360) 428-6485

    Type: Mailing

  • 2320 FREEWAY DR

    MOUNT VERNON, WA 982735445

    Phone: (360) 814-6810

    Fax: (360) 814-6915

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $1,804.

Total Amount is formed as General ($1,804) + Research ($0) + Ownership ($0) = $1,804.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($390).

Total Amount

$1,804

General + Research + Ownership

Payments

93

Total payment records

General Amount

$1,804

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

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: 2021-12-06

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
I20130621000230IPhysician AssistantILTBD
I20211206002504IPhysician AssistantINTBD

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 minutes5435$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
11102Biopsy of related skin growth, first growth2523$0
99202New patient office or other outpatient visit, 15-29 minutes2020$0
17000Destruction of precancer skin growth, 1 growth1917$0
View full utilization report →

Insurance plans in this area (ZIP 98274)

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Provider's Procedures

MR. LUKE M WALTERS (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWA17003Destruction of 2-14 skin growths33556

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: 7911043054View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Physician AssistantIL
Nurse PractitionerPA
-IL
-IL
Nurse PractitionerIN
Physician AssistantIL
Physician AssistantIL
-IL
General SurgeryIN

Reviews

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Frequently asked questions

What federal number belongs to MR. LUKE M WALTERS (PA-C)?
The federal identifier for MR. LUKE M WALTERS (PA-C) is NPI 1043577562.
Is MR. LUKE M WALTERS (PA-C) active in the national directory?
MR. LUKE M WALTERS (PA-C)'s public NPI profile is in an active state.
What does MR. LUKE M WALTERS (PA-C) treat or focus on?
Patients typically see MR. LUKE M WALTERS (PA-C) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. LUKE M WALTERS (PA-C) practice in Washington?
You will see Mount Vernon, Washington on file for MR. LUKE M WALTERS (PA-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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