ALLISON WALTON M.D.
NPI 1255742920
Family Medicine in Washington, PA

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
95 LEONARD AVENUE, BUILDING 2 SECOND FLOOR, WASHINGTON, PA 15301(724) 223-3100 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Allison Walton M.d. NPPES

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

ALLISON WALTON M.D. (NPI 1255742920) is an individual family medicine provider in Washington, Pennsylvania, licensed in Pennsylvania (MT206207) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (2014).

NPPES Registry Identity

NPI1255742920
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALLISON WALTONCredential: M.D.
Location Address95 LEONARD AVENUE, BUILDING 2 SECOND FLOORWashington, PA 15301
Mailing Address95 Leonard Avenue, Building 2 Second FloorWashington, PA 15301
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2014
Enumeration DateMay 15, 2014
NPI 1255742920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MT206207
Definition
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.
95 LEONARD AVENUE, Washington, PA 15301

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

Allison Walton 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 ID8224332119
PECOS Enrollment IDI20170803002733, I20231115000472
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services36 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
49 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services30 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Bon Secours Southern Virginia Medical Center

Acute Care Hospitals · Emporia, VA
OwnershipProprietary
CMS Certification Number490097
Location727 North Main StreetEmporia, VA 23847 · Emporia City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15301 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%117 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Family Medicine
95 LEONARD AVENUE, BUILDING 2 2ND FLOOR
WASHINGTON, PA 15301
Student in an Organized Health Care Education/Training Program
95 LEONARD AVENUE, BUILDING 2, SUITE 200
WASHINGTON, PA 15301
Nurse Practitioner (Critical Care Medicine)
95 LEONARD AVENUE, BUILDING 2, 4TH FLOOR
WASHINGTON, PA 15301
Family Medicine
95 LEONARD AVENUE, BUILDING 2 2ND FLOOR
WASHINGTON, PA 15301
Physician Assistant
95 LEONARD AVENUE, BUILDING 1 SUITE 202
WASHINGTON, PA 15301
Family Medicine
95 LEONARD AVENUE, BUILDING 2 2ND FLOOR
WASHINGTON, PA 15301
Family Medicine
95 LEONARD AVENUE, BUILDING 2 SECOND FLOOR
WASHINGTON, PA 15301
Orthopaedic Surgery
95 LEONARD AVENUE, BUILDING 1, SUITE 202
WASHINGTON, PA 15301

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 Allison Walton's NPI number?

The NPI number for Allison Walton is 1255742920. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Allison Walton located?

Allison Walton practices at 95 Leonard Avenue Building 2 Second Floor, Washington, PA 15301. The listed phone number is (724) 223-3100.

What is Allison Walton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Allison Walton enrolled in Medicare?

Yes. Allison Walton 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 Allison Walton accept?

Health plans from Molina Healthcare list Allison Walton 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 Allison Walton affiliated with any hospitals?

According to CMS data, Allison Walton is affiliated with Indiana Regional Medical Center and Bon Secours Southern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Allison Walton was last updated on May 15, 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.