1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Specialist
  6. NPI Profile

DR. WALTER DIETRICH GRACIA M.D.
NPI 1245207141
Specialist in Fort Worth, TX

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
1204 5TH AVE, FORT WORTH, TX 76104(817) 336-9450(817) 336-3306 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Walter Dietrich Gracia M.d. NPPES

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

DR. WALTER DIETRICH GRACIA M.D. (NPI 1245207141) is an individual specialist in Fort Worth, Texas, licensed in Texas (G5103) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of University Of Texas Medical Branch At Galveston (1983).

NPPES Registry Identity

NPI1245207141
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. WALTER DIETRICH GRACIACredential: M.D.
Location Address1204 5TH AVEFort Worth, TX 76104-4303
Mailing Address1204 5th AveFort Worth, TX 76104-4303 · (817) 336-9450 · Fax (817) 336-3306
Phone(817) 336-9450
Fax(817) 336-3306
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1983
Enumeration DateMarch 1, 2006
Last NPPES UpdateAugust 4, 2014
✔ NPI 1245207141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · G5103
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1204 5TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 6

Other4273318TX · Aetna
Medicare UPINE51575TX
Medicaid126310502TX
Medicare PIN8F1875TX
OtherF97NTX · Blue Cross Blue Shield
Other240002368TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Walter Dietrich Gracia 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 ID9830122571
PECOS Enrollment IDI20050914000291
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 2

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

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

MRS. MONICA RENE GRACIA RN
Registered Nurse
1204 5TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 336-9450
WALTER DIETRICH GRACIA, M.D., P.A.
Surgery (Plastic and Reconstructive Surgery)
1204 5TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 336-9450

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 Gracia's NPI number?

The NPI number for Walter Gracia is 1245207141. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Walter Gracia located?

Walter Gracia practices at 1204 5th Ave, Fort Worth, TX 76104. The listed phone number is (817) 336-9450.

What is Walter Gracia's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Walter Gracia enrolled in Medicare?

Yes. Walter Gracia 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.

What insurance does Walter Gracia accept?

Health plans from Blue Cross and Blue Shield of Texas list Walter Gracia 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.

Is Walter Gracia affiliated with any hospitals?

According to CMS data, Walter Gracia is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Walter Gracia was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.