DR. JOHN ROBERT WALTERS (MD) – Family Medicine Physician, NPI 1164405783

DR. JOHN ROBERT WALTERS (MD) is a healthcare provider. based in Ellensburg, Washington. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD199938 (OR). The NPI Number for DR. JOHN ROBERT WALTERS (MD) is 1164405783

Main info

Male
Name
DR. JOHN ROBERT WALTERS (MD)
NPI
1164405783
Phone
(509) 962-6348
Address
107 E MOUNTAIN VIEW AVE
Enumeration Date
29 November 2005
Last Update Date
17 July 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN ROBERT WALTERS (MD)

  • 107, East Mountain View Avenue, Ellensburg, Kittitas County, Washington, 98926, United States

    ELLENSBURG, WA 989265312

    Phone: (509) 962-6348

    Fax: (509) 962-8702

    Type: Mailing

  • McGilchrist Street Southeast, Salem, Marion County, Oregon, 97310, United States

    SALEM, OR 973021691

    Phone: (971) 304-2200

    Type: Location

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.

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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: 2023-08-16

PECOS data refreshed: 2026-05-27

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98926)

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Provider's Procedures

DR. JOHN ROBERT WALTERS (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA85610Blood test, clotting time7414
FAMILY MEDICINEWA90670Pneumococcal vaccine for injection into muscle1818

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Frequently asked questions

Does DR. JOHN ROBERT WALTERS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOHN ROBERT WALTERS (MD) uses 1164405783.
Is DR. JOHN ROBERT WALTERS (MD) still practicing?
DR. JOHN ROBERT WALTERS (MD) is currently listed as active in the public NPI registry.
What is DR. JOHN ROBERT WALTERS (MD)'s primary classification?
Family Medicine Physician is the headline specialty for DR. JOHN ROBERT WALTERS (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. JOHN ROBERT WALTERS (MD) serve?
DR. JOHN ROBERT WALTERS (MD)'s listing highlights Ellensburg, Washington; 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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