DR. RUSTIN CHANC WALTERS M.D.
NPI 1053381467
Urology in Tulsa, OK

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
10901 E 48TH ST, TULSA, OK 74146(918) 749-8765(918) 392-2155 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rustin Chanc Walters M.d. NPPES

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

DR. RUSTIN CHANC WALTERS M.D. (NPI 1053381467) is an individual urology provider in Tulsa, Oklahoma, licensed in Oklahoma (38512) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and is a graduate of Saint Louis University School Of Medicine (2001).

NPPES Registry Identity

NPI1053381467
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. RUSTIN CHANC WALTERSCredential: M.D.
Location Address10901 E 48TH STTulsa, OK 74146-5830
Mailing Address10901 E 48th StTulsa, OK 74146-5830 · (918) 749-8765 · Fax (918) 392-2155
Fax(918) 392-2155
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2001
Enumeration DateJanuary 26, 2006
Last NPPES UpdateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
NPI 1053381467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in OK · 38512
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
10901 E 48TH ST, Tulsa, OK 74146

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

Dr. Rustin Chanc Walters M.d. 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 ID6507004033
PECOS Enrollment IDI20220517000171, I20220517000219, I20220608001000
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 35

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
12,270 services46 patients
Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
796 services15 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
365 services308 patients
Injection, heparin sodium, per 1000 units J1644
Heparin sodium injection is a blood-thinning medication given to prevent blood clots. It's administered in units, with each dose tailored to your needs. This service refers to the administration of 1000 units of this medication.
360 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
252 services230 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
245 services196 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Mcalester Regional Health Center

Acute Care Hospitals · Mcalester, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370034
Location1 Clark Bass BoulevardMcalester, OK 74501 · Pittsburg County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370210
Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County
Emergency services

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74146 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
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 20

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

Urology
10901 E 48TH ST
TULSA, OK 74146
Physician Assistant
10901 E 48TH ST
TULSA, OK 74146
Urology
10901 E 48TH ST
TULSA, OK 74146
Urology
10901 E 48TH ST
TULSA, OK 74146
Clinical Nurse Specialist (Adult Health)
10901 E 48TH ST
TULSA, OK 74146
Urology
10901 E 48TH ST
TULSA, OK 74146
Urology
10901 E 48TH ST
TULSA, OK 74146
Urology
10901 E 48TH ST
TULSA, OK 74146

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 Rustin Walters's NPI number?

The NPI number for Rustin Walters is 1053381467. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Rustin Walters located?

Rustin Walters practices at 10901 E 48th St, Tulsa, OK 74146. The listed phone number is (918) 749-8765.

What is Rustin Walters's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Rustin Walters enrolled in Medicare?

Yes. Rustin Walters 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 Rustin Walters accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Sunflower Health Plan and 12 other insurers list Rustin Walters 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 Rustin Walters affiliated with any hospitals?

According to CMS data, Rustin Walters is affiliated with Ascension St John Jane Phillips, Mcalester Regional Health Center, Ascension St John Medical Center, Oklahoma Surgical Hospital, LLC and Ascension St John Broken Arrow.

When was this NPI record last updated?

The NPPES record for Rustin Walters was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.