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BRUCE J WALZ MD
NPI 1063439677
Radiology - Radiation Oncology in St Louis, MO

Active since July 17, 2006PECOS Enrolled
3635 VISTA, ST LOUIS, MO 63110(314) 577-8815(314) 268-5106 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bruce J Walz Md NPPES

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

BRUCE J WALZ MD (NPI 1063439677) is an individual radiation oncology provider in St Louis, Missouri, licensed in Missouri (30961) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063439677
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameBRUCE J WALZCredential: MD
Location Address3635 VISTASt Louis, MO 63110
Mailing Address3691 Rutger Ave, Provider EnrollmentSt Louis, MO 63110 · (314) 977-4440
Phone(314) 577-8815
Fax(314) 268-5106
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 9, 2008
✔ NPI 1063439677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in MO · 30961
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
3635 VISTA, St Louis, MO 63110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce J Walz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Bruce Walz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Missouri Hospital Physicians, LLC
98 mi
Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
NPI 1558311522 (573) 331-6880

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 63110 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
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

RALPH J GRAFF MD
Surgery
3635 VISTA, 3RD FL
ST LOUIS, MO 63110
St. Louis City (314) 577-8566
SREEDEVI MADDIPATI MD
Anesthesiology
3635 VISTA
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8750
USTUN AYDINGOZ MD
Radiology (Diagnostic Radiology)
3635 VISTA
ST LOUIS, MO 63110
St. Louis City (314) 268-5783
HARVEY SOLOMON MD
Transplant Surgery
3635 VISTA
SAINT LOUIS, MO 63110
St. Louis City (314) 577-8848
DONALD L KAMINSKI MD
Surgery
3635 VISTA, 3RD FLOOR
ST LOUIS, MO 63110
St. Louis City (314) 577-8566
HUI YUAN MD
Anesthesiology
3635 VISTA
ST LOUIS, MO 63110
St. Louis City (314) 577-8750
MR. JESSE GRAHAM GIBBONS AA-C
Anesthesiologist Assistant
3635 VISTA
ST. LOUIS, MO 63110
St. Louis City (314) 577-8000
MACDONALD B LOGIE MD
Radiology (Radiation Oncology)
3635 VISTA
ST LOUIS, MO 63110
St. Louis City (314) 577-8815

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 Bruce Walz's NPI number?

The NPI number for Bruce Walz is 1063439677. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Bruce Walz located?

Bruce Walz practices at 3635 Vista, St Louis, MO 63110. The listed phone number is (314) 577-8815.

What is Bruce Walz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Bruce Walz enrolled in Medicare?

Yes. Bruce Walz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bruce Walz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Walz reassigns Medicare benefits to Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO). 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 Bruce Walz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bruce Walz was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.