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JONATHAN PAUL WALTHER MD
NPI 1205365137
Pediatrics in Ada, OK

Active since June 05, 2017PECOS Enrolled
1921 STONECIPHER DR, ADA, OK 74820(580) 436-3980 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2020, Jun 5, 2017 (2 updates tracked since 2017).

About Jonathan Paul Walther Md NPPES

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

JONATHAN PAUL WALTHER MD (NPI 1205365137) is an individual pediatrics provider in Ada, Oklahoma, licensed in Oklahoma (33099) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205365137
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJONATHAN PAUL WALTHERCredential: MD
Location Address1921 STONECIPHER DRAda, OK 74820-3439
Mailing Address1921 Stonecipher DrAda, OK 74820-3439 · (580) 436-3980
Phone(580) 436-3980
Sole ProprietorNo
Enumeration DateJune 5, 2017
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1205365137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 33099
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1921 STONECIPHER DR, Ada, OK 74820
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Paul Walther 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 Reassignment

Medicare enrollment records show Jonathan Walther reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chickasaw Nation Division Of Health
2.3 mi
General Acute Care Hospital
1921 STONECIPHER BLVD
Ada, OK 74820
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
  • 324 clinicians in this Medicare group
NPI 1255364923 (580) 421-4570

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

TRAVIS L TEEL PA
Physician Assistant
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980
DR. OLIVIA DANIELLE REED D.O.
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 421-4570
LAURA COLEEN BYOUS-SCHAEFER APRN-CNM
Midwife
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980
JOLENE JESSICA LOBO
Family Medicine
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (800) 851-9136
LAUREN LITTLE AXE PA
Physician Assistant (Medical)
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980
WHITNEY THOMAS
Counselor
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 421-4591
CRYSTALLE M EVANS D.O.
Emergency Medicine
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 421-4526
DR. MARTY RAY SCANTLEN D.D.S.
Dentist
1921 STONECIPHER DR
ADA, OK 74820
Pontotoc County (580) 436-3980

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 Jonathan Walther's NPI number?

The NPI number for Jonathan Walther is 1205365137. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Jonathan Walther located?

Jonathan Walther practices at 1921 Stonecipher Dr, Ada, OK 74820. The listed phone number is (580) 436-3980.

What is Jonathan Walther's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jonathan Walther enrolled in Medicare?

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

Which organization bills Medicare for Jonathan Walther's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Walther reassigns Medicare benefits to Chickasaw Nation Division Of Health (Ada, OK). The 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 Jonathan Walther's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Walther accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Jonathan 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 Jonathan Walther was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.