Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL J WALLS MD
NPI 1083888325
Pain Medicine - Interventional Pain Medicine in Edgewood, KY

Active since April 17, 2008PECOS Enrolled
87.53/100
CMS Quality Rating
560 S LOOP RD, EDGEWOOD, KY 41017(859) 301-2663(859) 817-7842 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 20, 2024, Jun 9, 2022, Jan 19, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Michael J Walls Md NPPES

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

DR. MICHAEL J WALLS MD (NPI 1083888325) is an individual interventional pain medicine provider in Edgewood, Kentucky, licensed in Kentucky (42678) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1083888325
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. MICHAEL J WALLSCredential: MD
Location Address560 S LOOP RDEdgewood, KY 41017-3405
Mailing Address560 S Loop RdEdgewood, KY 41017-3405
Fax(859) 817-7842
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 17, 2008
Last NPPES UpdateOctober 20, 20265 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1083888325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses✔ Licensed in KY · 42678✔ Licensed in OH · 35.092302CTR
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
560 S LOOP RD, Edgewood, KY 41017

Other Identifiers 10

Medicaid0295938OH
Other15725575KY · Wellcare Of Kentucky Provider Id Number
Other9318357Aetna Pin
Other003031812United Healthcare Provider Id Number
Medicaid7100086870KY
OtherP02011197KY · Railroad Medicare
OtherCS1811400200Caresource Id
Other000001148521Anthem Id
Medicaid300012365IN
Other298418KYIPKY · Aetna Better Health Of Kentucky Provider Id Number

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael J Walls 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 ID6709937626
PECOS Enrollment IDI20090706000179, I20240716001659
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 Reassignments

3

Medicare enrollment records show Michael Walls reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
560 S LOOP RD
Edgewood, KY 41017
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 115 clinicians in this Medicare group
Interventional Pain Medicine
7000 DIXIE HWY
Florence, KY 41042
  • Reassigned Medicare billing, Kentucky enrollment
  • 3 clinicians in this Medicare group
Interventional Pain Medicine
120 EXECUTIVE PARK
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 193 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 27

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, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
1,002 services157 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.
444 services207 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.
439 services225 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
238 services45 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
194 services156 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
79 services62 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.58
Promoting Interoperability100
Improvement Activities40
Cost68.08

Reported Quality Measures

Advance Care Plan
93%723 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
22%68 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
42%81 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%119 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%4,149 patients4/55-star benchmark: 100%
e-Prescribing
100%217 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%1,837 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
60%1,735 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 68% · 1,419 patients
Patients screened: 85% · 1,419 patients
47%442 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%968 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%139 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 753 patients
Patients totalRate: 12% · 753 patients
8%753 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Podiatrist
560 S LOOP RD
EDGEWOOD, KY 41017
Physician Assistant
560 S LOOP RD
EDGEWOOD, KY 41017
Orthopaedic Surgery (Sports Medicine)
560 S LOOP RD
EDGEWOOD, KY 41017
Orthotist
560 S LOOP RD
EDGEWOOD, KY 41017
Physician Assistant (Surgical)
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Orthopaedic Surgery
560 S LOOP RD
EDGEWOOD, KY 41017
Physician Assistant (Medical)
560 S LOOP RD
EDGEWOOD, KY 41017

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 Michael Walls's NPI number?

The NPI number for Michael Walls is 1083888325. It was assigned to this individual provider in the NPPES registry on April 17, 2008.

Where is Michael Walls located?

Michael Walls practices at 560 S Loop Rd, Edgewood, KY 41017. The listed phone number is (859) 301-2663.

What is Michael Walls's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Michael Walls enrolled in Medicare?

Yes. Michael Walls 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.

Which organizations bill Medicare for Michael Walls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Walls reassigns Medicare benefits to 3 organizations: Orthocincy Orthopaedics & Sports Medicine Psc (Edgewood, KY), (Florence, KY) and Commonwealth Pain Associates, PLLC (Louisville, KY). Each 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 Michael Walls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Walls accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Michael Walls 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 Michael Walls affiliated with any hospitals?

According to CMS data, Michael Walls is affiliated with St Elizabeth Ft Thomas and St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Michael Walls was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.