WALTER LEROY WILLIAMS (M.D.) – Dermatology Physician, NPI 1841269248
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 DERMATOLOGY in WA
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Provider Addresses for WALTER LEROY WILLIAMS (M.D.)
1433, 5th Street, Clarkston, Asotin County, Washington, 99403, United States
CLARKSTON, WA 994032714
Phone: (509) 758-5141
Fax: (509) 758-5299
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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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: 2004-09-08
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 |
|---|---|---|---|---|
| I20040908000156 | I | Dermatology | WA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,348 | 329 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 736 | 632 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 644 | 576 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 555 | 478 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 455 | 416 | $0 |
Insurance plans in this area (ZIP 99403)
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Provider's Procedures
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