WILLIAM LOWE WALLER III MD
NPI 1053592840
Dermatology in Hattiesburg, MS

Active since November 20, 2007PECOS EnrolledAccepts Medicare Assignment
3 THOMPSON PARK, HATTIESBURG, MS 39401(601) 579-3130(601) 264-5092 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 3, 2020, Aug 23, 2016 (2 updates tracked since 2016).

About William Lowe Waller Iii Md NPPES

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

WILLIAM LOWE WALLER III MD (NPI 1053592840) is an individual dermatology provider in Hattiesburg, Mississippi, licensed in Mississippi (21371) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of University Of Mississippi School Of Medicine (2006).

NPPES Registry Identity

NPI1053592840
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameWILLIAM LOWE WALLER IIICredential: MD
Location Address3 THOMPSON PARKHattiesburg, MS 39401-8202
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-3130 · Fax (601) 579-5240
Fax(601) 264-5092
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2006
Enumeration DateNovember 20, 2007
Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
NPI 1053592840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in MS · 21371 Licensed in LA · MD.201654
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3 THOMPSON PARK, Hattiesburg, MS 39401

Other Identifiers 2

Medicaid05471708MS
Other9789697MS · Aetna

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

William Lowe 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 ID6204916695
PECOS Enrollment IDI20111019000077
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 34

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
4,431 services649 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.
1,114 services815 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
996 services750 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.
449 services333 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
338 services290 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
260 services170 patients

Hospital Affiliations CMS Care Compare

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

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 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
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 6

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

Nurse Practitioner (Family)
3 THOMPSON PARK
HATTIESBURG, MS 39401
Dermatology
3 THOMPSON PARK
HATTIESBURG, MS 39401
Nurse Practitioner
3 THOMPSON PARK
HATTIESBURG, MS 39401
Dermatology
3 THOMPSON PARK
HATTIESBURG, MS 39401
Physician Assistant
3 THOMPSON PARK
HATTIESBURG, MS 39401
Nurse Practitioner
3 THOMPSON PARK
HATTIESBURG, MS 39401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053592840, enumerated as an "individual" on November 20, 2007.

The provider is located at 3 THOMPSON PARK HATTIESBURG, MS 39401 and the phone number is (601) 579-3130.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Molina Healthcare, Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to verify.

William Waller is affiliated with: FORREST GENERAL HOSPITAL.