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RUSSELL WALTHER DDS, MD
NPI 1073837746
Dentist - Oral and Maxillofacial Surgery in Tallahassee, FL

Active since March 24, 2010PECOS Enrolled
2648 CENTENNIAL PL, TALLAHASSEE, FL 32308(850) 523-3000(850) 523-0831 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2016, Mar 28, 2016 (2 updates tracked since 2016).

About Russell Walther Dds, Md NPPES

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

RUSSELL WALTHER DDS, MD (NPI 1073837746) is an individual oral and maxillofacial surgery provider in Tallahassee, Florida, licensed in Florida (DN 21651) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073837746
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameRUSSELL WALTHERCredential: DDS, MD
Location Address2648 CENTENNIAL PLTallahassee, FL 32308-0572
Mailing Address2648 Centennial PlTallahassee, FL 32308-0572 · (850) 523-3000 · Fax (850) 523-0831
Phone(850) 523-3000
Fax(850) 523-0831
Sole ProprietorNo
Enumeration DateMarch 24, 2010
Last NPPES UpdateAugust 24, 20162 updates tracked since enumeration
✔ NPI 1073837746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in FL · DN 21651✔ Licensed in FL · ME 126426
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2648 CENTENNIAL PL, Tallahassee, FL 32308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell Walther Dds, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 4

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

RED HILLS ORAL AND FACIAL SURGERY, PA
Dentist (Oral and Maxillofacial Surgery)
2648 CENTENNIAL PL
TALLAHASSEE, FL 32308
Leon County (850) 523-3000
MR. JAMIE HANUKA LMT
Massage Therapist
2648 CENTENNIAL PL
TALLAHASSEE, FL 32308
Leon County (850) 402-0200
MEDICAL REHABILITATION SPECIALIST III INC
Physical Medicine & Rehabilitation
2648 CENTENNIAL PL
TALLAHASSEE, FL 32308
Leon County (850) 402-0200
JOSEPH MICHAEL CROOM PTA
Physical Therapy Assistant
2648 CENTENNIAL PL
TALLAHASSEE, FL 32308
Leon County (850) 727-5406

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 Russell Walther's NPI number?

The NPI number for Russell Walther is 1073837746. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Where is Russell Walther located?

Russell Walther practices at 2648 Centennial Pl, Tallahassee, FL 32308. The listed phone number is (850) 523-3000.

What is Russell Walther's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Russell Walther enrolled in Medicare?

Yes. Russell Walther is registered in the Medicare PECOS enrollment system.

What insurance does Russell Walther accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana list Russell Walther 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 Russell Walther was last updated on August 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.