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WALTER P. SAMORA III MD
NPI 1194936120
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Columbus, OH

Active since May 24, 2007PECOS Enrolled
405 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215(614) 722-2000 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2024, Mar 1, 2022 (2 updates tracked since 2022).

About Walter P. Samora Iii Md NPPES

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

WALTER P. SAMORA III MD (NPI 1194936120) is an individual pediatric orthopaedic surgery provider in Columbus, Ohio, licensed in Ohio (35094679) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1194936120
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameWALTER P. SAMORA IIICredential: MD
Location Address405 BUTTERFLY GARDENS DRColumbus, OH 43215-4985
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000
Phone(614) 722-2000
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1194936120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in OH · 35094679
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 35094679 (OH)
405 BUTTERFLY GARDENS DR, Columbus, OH 43215
Open in Google Maps ↗

Secondary Practice Locations 8

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-6200
Location 27901 Diley RdCanal Winchester, OH 43110-9612 · Phone (614) 722-6200
Location 35680 Venture DrDublin, OH 43017-2190 · Phone (614) 722-6200
Location 46435 E Broad StColumbus, OH 43213-1507 · Phone (614) 722-6200
Location 5536 S Trimble RdMansfield, OH 44906-3418 · Phone (614) 722-6200
Location 6150 W Main StNew Albany, OH 43054-9229 · Phone (614) 722-6200
Location 7584 County Line Rd WWesterville, OH 43082-7295 · Phone (614) 722-6200
Location 84363 All Seasons DrHilliard, OH 43026-2050 · Phone (614) 722-6200

Other Identifiers 1

Medicaid3060217OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual 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 (PECOS)

Walter P. Samora Iii 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 Reassignments

2

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

Children's Surgical Associates, Corporation
0.5 mi
Pediatric Surgery
700 CHILDREN'S DRIVE
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 211 clinicians in this Medicare group
NPI 1417905324 (614) 722-2000
Nationwide Children's Hospital
0.5 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055

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 16

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

LINDSAY FANNIN MD
Pediatrics (Pediatric Rheumatology)
405 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-5525
IVANA STOJKIC MD
Pediatrics (Pediatric Rheumatology)
405 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-2000
CHRISTOPHER A. IOBST MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
405 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-2000
DR. SAMANTHA LYNN COSS MD PHD
Pediatrics (Pediatric Rheumatology)
405 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-2000
DOMINIQUE R CROSS DO, MPH
Internal Medicine
405 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-3194
DR. JONATHAN PAUL MARILAO MD
Pediatrics (Pediatric Rheumatology)
405 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-5525
HEATHER BURTON
Pediatrics (Sports Medicine)
405 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 355-6000
CAITLIN O'DONNELL PT, DPT
Physical Therapist (Orthopedic)
405 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215
Franklin County (614) 722-2000

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 Walter Samora's NPI number?

The NPI number for Walter Samora is 1194936120. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Walter Samora located?

Walter Samora practices at 405 Butterfly Gardens Dr, Columbus, OH 43215. The listed phone number is (614) 722-2000.

What is Walter Samora's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Walter Samora enrolled in Medicare?

Yes. Walter Samora is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Walter Samora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Samora reassigns Medicare benefits to 2 organizations: Children's Surgical Associates, Corporation (Columbus, OH) and Nationwide Children's Hospital (Columbus, OH). 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 Walter Samora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Walter Samora accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual and UnitedHealthcare list Walter Samora 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 Walter Samora was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.