DR. PETER JOHN WALTON MD
NPI 1154498400
Family Medicine in Tampa, FL

NPI Status: Active since November 30, 2006

Contact Information

14502 N DALE MABRY HWY STE 200
TAMPA, FL
ZIP 33618
Phone: (727) 404-8856
Fax: (727) 390-0621

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  • Individual
  • Male
  • Family Medicine
  • Accepts Insurance
  • Opted-Out Medicare

About PETER WALTON

This page provides the complete NPI Profile along with additional information for Peter Walton, a primary care provider established in Tampa, Florida with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1154498400 assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number ME0073900 (FL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1154498400
Provider Name
DR. PETER JOHN WALTON MD
Gender
Male
Entity Type
Individual
Location Address
14502 N DALE MABRY HWY STE 200 TAMPA, FL 33618
Location Phone
(727) 404-8856
Location Fax
(727) 390-0621
Mailing Address
14502 N DALE MABRY HWY STE 200 TAMPA, FL 33618
Mailing Phone
(727) 404-8856
Mailing Fax
(727) 390-0621
Is Sole Proprietor?
Yes
Enumeration Date
11-30-2006
Last Update Date
01-15-2025
Code Navigator

A primary care provider (PCP) like Peter Walton sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Peter Walton opted out of Medicare effective on 04-01-2022 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME0073900
License State
FL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-01-2022

  • Opt-Out End Date: 04-01-2026

  • Eligible to Order and Refer? No

Reviews for DR. PETER JOHN WALTON MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154498400, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 8 + 9 + 1 + 6 + 4 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1154498400.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Psychologist (School)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Psychologist (School)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Speech-Language Pathologist
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Home Health
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Case Manager/Care Coordinator
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Case Manager/Care Coordinator
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Social Worker (Clinical)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Social Worker (Clinical)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Counselor (Mental Health)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Psychologist (Clinical Child & Adolescent)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Counselor (Mental Health)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Counselor (Mental Health)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Social Worker (Clinical)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Social Worker (Clinical)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Specialist
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Nurse Practitioner (Family)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Psychologist (Clinical)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Counselor (Mental Health)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618
Technician (Attendant Care Provider)
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154498400, enumerated as an "individual" on November 30, 2006.

The provider is located at 14502 N DALE MABRY HWY STE 200 TAMPA, FL 33618 and the phone number is (727) 404-8856.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.