MR. WALTER EDWARD GIPSON IV MD
NPI 1023121555
Family Medicine in Picayune, MS

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
1702 HWY 11 N, STE A, PICAYUNE, MS 39466(601) 799-3130(601) 799-3132 Get Directions Write a Review

NPPES record last updated: May 17, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Walter Edward Gipson Iv Md NPPES

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

MR. WALTER EDWARD GIPSON IV MD (NPI 1023121555) is an individual family medicine provider in Picayune, Mississippi, licensed in Mississippi (13890) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Slidell Memorial Hospital, and is a graduate of University Of Mississippi School Of Medicine (1993).

NPPES Registry Identity

NPI1023121555
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. WALTER EDWARD GIPSON IVCredential: MD
Location Address1702 HWY 11 N, STE APicayune, MS 39466
Mailing Address1702 A Hwy 11 NorthPicayune, MS 39466 · (601) 799-3130 · Fax (601) 799-3132
Fax(601) 799-3132
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1993
Enumeration DateAugust 17, 2006
Last NPPES UpdateMay 17, 2017
NPI 1023121555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 13890
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1702 HWY 11 N, Picayune, MS 39466

Other Identifiers 5

Medicare PIN080002396MS
Medicare UPINF62644MS
Medicare UPINF62644
Other640880384MS · Blue Cross
Medicaid00112115MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Walter Edward Gipson Iv 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 ID244212454
PECOS Enrollment IDI20040602000877
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
182 services139 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
38 services18 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

Highland Community Hospital

Acute Care Hospitals · Picayune, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250117
Location130 Highland PkwyPicayune, MS 39466 · Pearl River County
Emergency services Birthing friendly

Pearl River County Hospital

Critical Access Hospitals · Poplarville, MS
OwnershipGovernment - Local
CMS Certification Number251333
Location305 West Moody StreetPoplarville, MS 39470 · Pearl River County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39466 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers64 claims175 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers38 claims54 services$1.07 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers13 claims26 services$58.58 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier11 claims66 services$37.29 avg. paid by Medicare
Filter, nondisposable, used with aerosol compressor or ultrasonic generator A7014
DME-Other DME · category DE000N
1 supplier13 claims13 services$3.09 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
1 supplier17 claims17 services$1.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Walter Gipson's NPI number?

The NPI number for Walter Gipson is 1023121555. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Walter Gipson located?

Walter Gipson practices at 1702 Hwy 11 N Ste A, Picayune, MS 39466. The listed phone number is (601) 799-3130.

What is Walter Gipson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Walter Gipson enrolled in Medicare?

Yes. Walter Gipson 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.

What insurance does Walter Gipson accept?

Health plans from Molina Healthcare and UnitedHealthcare list Walter Gipson 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.

Is Walter Gipson affiliated with any hospitals?

According to CMS data, Walter Gipson is affiliated with Slidell Memorial Hospital, Highland Community Hospital and Pearl River County Hospital.

When was this NPI record last updated?

The NPPES record for Walter Gipson was last updated on May 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.