WALTER CANNON MD
NPI 1205889003
Radiology - Diagnostic Radiology in Dallas, TX

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
87.57/100
CMS Quality Rating
3500 GASTON AVENUE, DALLAS, TX 75246(214) 826-8822(214) 826-9792 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walter Cannon Md NPPES

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

WALTER CANNON MD (NPI 1205889003) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (M1560) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of Michigan Medical School (1995).

NPPES Registry Identity

NPI1205889003
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameWALTER CANNONCredential: MD
Location Address3500 GASTON AVENUEDallas, TX 75246
Mailing Address712 N Washington Ave, Suite 101Dallas, TX 75246-1619 · (214) 826-8822 · Fax (214) 826-9792
Fax(214) 826-9792
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1995
Enumeration DateMay 19, 2006
Last NPPES UpdateFebruary 17, 2012
NPI 1205889003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · M1560
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3500 GASTON AVENUE, Dallas, TX 75246

Other Identifiers 6

Medicare PINP00242427TX
Medicaid176809501TX
Medicare PIN8D8635TX
Medicare PIN8G4992TX
Medicare PIN8D8636TX
Medicare UPINH85245

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Walter Cannon 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 ID2466344171
PECOS Enrollment IDI20050907000584
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.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
584 services518 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
110 services98 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
99 services99 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
92 services92 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
84 services84 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
54 services54 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35eWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450851
Location621 North Hall StreetDallas, TX 75226 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

87.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.1
Improvement Activities40
Cost58.78

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.

Radiology (Diagnostic Radiology)
3500 GASTON AVENUE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVENUE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVENUE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVENUE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVENUE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVENUE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVENUE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVENUE
DALLAS, TX 75246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205889003, enumerated as an "individual" on May 19, 2006.

The provider is located at 3500 GASTON AVENUE DALLAS, TX 75246 and the phone number is (214) 826-8822.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to verify.

Walter Cannon is affiliated with: BAYLOR UNIVERSITY MEDICAL CENTER, BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE and BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS.