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SCOTT WILLIAM WALTERS M.D.
NPI 1104941277
Pediatrics - Pediatric Nephrology in Greenville, SC

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
200 PATEWOOD DR, SUITE A115, GREENVILLE, SC 29615(864) 454-5628(864) 241-9200 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Scott William Walters M.d. NPPES

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

SCOTT WILLIAM WALTERS M.D. (NPI 1104941277) is an individual pediatric nephrology provider in Greenville, South Carolina, licensed in South Carolina (24463) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2002).

NPPES Registry Identity

NPI1104941277
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameSCOTT WILLIAM WALTERSCredential: M.D.
Location Address200 PATEWOOD DR, SUITE A115Greenville, SC 29615-3593
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(864) 454-5628
Fax(864) 241-9200
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2002
Enumeration DateMarch 20, 2007
Last NPPES UpdateJune 16, 2021
NPPES CertifiedJune 16, 2021
✔ NPI 1104941277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in SC · 24463
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
200 PATEWOOD DR, Greenville, SC 29615
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Other Identifiers 1

Medicaid244630SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Scott William 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 ID1557437688
PECOS Enrollment IDI20100105000255
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

2

Medicare enrollment records show Scott Walters reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greenville Health System
0.3 mi
General Acute Care Hospital
200 PATEWOOD DR, SUITE C 300
Greenville, SC 29615
  • Reassigned Medicare billing, South Carolina enrollment
  • 735 clinicians in this Medicare group
NPI 1184049041 (864) 454-8272
Ghs Partners In Health, Inc.
1.4 mi
Dermatology
920 WOODRUFF RD
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Prisma Health University Medical Group
  • 3,281 clinicians in this Medicare group
NPI 1235446337 (864) 233-6338

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

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.

CHARLOTTE BOCCHINO PT
Physical Therapist
200 PATEWOOD DR, STE C150
GREENVILLE, SC 29615
Greenville County (864) 454-0904
DOMINIC BRUNO GAULT M.D.
Pediatrics (Sleep Medicine)
200 PATEWOOD DR, STE A330
GREENVILLE, SC 29615
Greenville County (864) 454-5660
SANDRA T CALMES NP
Nurse Practitioner (Acute Care)
200 PATEWOOD DR, STE B300
GREENVILLE, SC 29615
Greenville County (864) 454-4200
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Clinic/Center (Multi-Specialty)
200 PATEWOOD DR, SUITE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5100
GREENVILLE HOSPITAL SYSTEM
Clinic/Center (Radiology)
200 PATEWOOD DR, SUITE A16
GREENVILLE, SC 29615
Greenville County (864) 454-2604
JOHN J KUDLAK JR. D.O.
Internal Medicine (Pulmonary Disease)
200 PATEWOOD DR, SUITE B300
GREENVILLE, SC 29615
Greenville County (864) 454-4200
BRUCE HARVEY GRAY D.O.
Internal Medicine
200 PATEWOOD DR, SUITE C300
GREENVILLE, SC 29615
Greenville County (864) 454-8272
MENG ZHOU-WANG MD
Psychiatry & Neurology (Clinical Neurophysiology)
200 PATEWOOD DR, SUITE B350
GREENVILLE, SC 29615
Greenville County (864) 454-4500

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 Scott Walters's NPI number?

The NPI number for Scott Walters is 1104941277. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Scott Walters located?

Scott Walters practices at 200 Patewood Dr Suite A115, Greenville, SC 29615. The listed phone number is (864) 454-5628.

What is Scott Walters's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Scott Walters enrolled in Medicare?

Yes. Scott 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.

Which organizations bill Medicare for Scott Walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Walters reassigns Medicare benefits to 2 organizations: Greenville Health System (Greenville, SC) and Ghs Partners In Health, Inc. (Greenville, SC). 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 Scott Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Walters accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Scott 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.

When was this NPI record last updated?

The NPPES record for Scott Walters was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.