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BENJAMIN R WALLER III MD
NPI 1013974062
Internal Medicine - Interventional Cardiology in Memphis, TN

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
51 N DUNLAP ST FL 2, MEMPHIS, TN 38105(901) 287-7337(901) 287-4646 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2018, Jul 5, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Benjamin R Waller Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN R WALLER III MD (NPI 1013974062) is an individual interventional cardiology provider in Memphis, Tennessee, licensed in Tennessee (19846) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1987).

NPPES Registry Identity

NPI1013974062
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameBENJAMIN R WALLER IIICredential: MD
Location Address51 N DUNLAP ST FL 2Memphis, TN 38105
Mailing Address848 Adams AveMemphis, TN 38103-2816 · (901) 287-5594
Phone(901) 287-7337
Fax(901) 287-4646
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1987
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 13, 20184 updates tracked since enumeration
✔ NPI 1013974062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in TN · 19846
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 19846 (TN)
51 N DUNLAP ST FL 2, Memphis, TN 38105
Open in Google Maps ↗

Other Identifiers 1

Medicaid3086106TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin R Waller Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951595438
PECOS Enrollment IDI20101028000743, I20151205000108
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Lebonheur Pediatric Specialists, Inc.
0.1 mi
Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Mississippi and Tennessee enrollments
  • 12 clinicians in this Medicare group
NPI 1093024101 (901) 287-7337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN E STEPHENS NP
Nurse Practitioner
51 N DUNLAP ST FL 2
MEMPHIS, TN 38105
Shelby County (901) 287-7337
MR. JAMES A HUTCHESON IV CPNP-AC
Nurse Practitioner (Pediatrics)
51 N DUNLAP ST FL 2
MEMPHIS, TN 38105
Shelby County (901) 287-7337
RANJIT PHILIP M.D.
Pediatrics (Pediatric Cardiology)
51 N DUNLAP ST FL 2
MEMPHIS, TN 38105
Shelby County (901) 287-7337
YING ZHUGE WEATHERALL M.D.
Surgery (Pediatric Surgery)
51 N DUNLAP ST FL 2
MEMPHIS, TN 38105
Shelby County (901) 287-7337
LEAH MARIE APALODIMAS APN, CPNP
Nurse Practitioner
51 N DUNLAP ST FL 2
MEMPHIS, TN 38105
Shelby County (901) 287-7337
HITESH AGRAWAL M.D.
Pediatrics (Pediatric Cardiology)
51 N DUNLAP ST FL 2
MEMPHIS, TN 38105
Shelby County (901) 287-7337
THOMAS MUNNU YOHANNAN M.D.
Pediatrics (Pediatric Cardiology)
51 N DUNLAP ST FL 2
MEMPHIS, TN 38105
Shelby County (901) 287-7337
JEFFREY TOWBIN MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
51 N DUNLAP ST FL 2
MEMPHIS, TN 38105
Shelby County (901) 287-7337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Waller's NPI number?

The NPI number for Benjamin Waller is 1013974062. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Benjamin Waller located?

Benjamin Waller practices at 51 N Dunlap St Fl 2, Memphis, TN 38105. The listed phone number is (901) 287-7337.

What is Benjamin Waller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Benjamin Waller enrolled in Medicare?

Yes. Benjamin Waller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Benjamin Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Waller reassigns Medicare benefits to Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Waller accept?

Health plans from Cigna Healthcare, Oscar Health Plan, Inc. and Oscar Insurance Company list Benjamin Waller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Waller was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.