MICHAEL C WALTERS (MD) – Emergency Medicine Physician, NPI 1063473973

MICHAEL C WALTERS (MD) is a healthcare provider. based in Portage, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 43499 (WI). The NPI Number for MICHAEL C WALTERS (MD) is 1063473973

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL C WALTERS (MD)
NPI
1063473973
Phone
(608) 745-5689
Address
2817 NEW PINERY ROAD
Enumeration Date
30 March 2006
Last Update Date
12 October 2012

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
6087424131
Graduation Year
1995 (31 years ago)
PAC ID
1456482017
Group Practice PAC ID
5799684007
Professional Enrollment ID
I20100625000120
Address ID
WI539019240PO2817XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,297 EMERGENCY MEDICINE in WI

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Provider Addresses for MICHAEL C WALTERS (MD)

  • Aspirus Divine Savior Hospital, 2817, New Pinery Road, Portage, Columbia County, Wisconsin, 53901, United States

    DIVINE SAVIOR HEALTHCARE

    PORTAGE, WI 539010387

    Phone: (608) 745-5689

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-06-25

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
I20100625000120IEmergency MedicineWITBD

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
99284Emergency department visit with moderate level of medical decision making2525$0
99285Emergency department visit with high level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 53901)

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Provider's Procedures

MICHAEL C WALTERS (MD) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEWI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report10084

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: 5799684007View full group profile
NameSpecialtyState
Emergency MedicineWI
Physician AssistantWI
Physical Medicine And RehabilitationWI
Certified Registered Nurse Anesthetist (Crna)WI
Emergency MedicineWI
Certified Registered Nurse Anesthetist (Crna)WI
Emergency Medicine, Addiction MedicineWI
Physician AssistantWI
Emergency MedicineNY
Hospitalist, Internal MedicineWI

Reviews

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Frequently asked questions

Does MICHAEL C WALTERS (MD) have a public NPI I can cite?
Public records show MICHAEL C WALTERS (MD) under NPI 1063473973.
Does the public listing show MICHAEL C WALTERS (MD) as active?
MICHAEL C WALTERS (MD)'s NPI record reflects an active status in NPPES.
What does the directory say MICHAEL C WALTERS (MD) does?
Insurance directories may phrase it differently, but here MICHAEL C WALTERS (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MICHAEL C WALTERS (MD)?
MICHAEL C WALTERS (MD) shows a connection to Portage, Wisconsin in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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