MARK WALLER M.D.
NPI 1265494314
Anesthesiology in Tulsa, OK

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
1611 S UTICA AVE, STE 217, TULSA, OK 74104(918) 744-3664(918) 748-7688 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Waller M.d. NPPES

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

MARK WALLER M.D. (NPI 1265494314) is an individual anesthesiology provider in Tulsa, Oklahoma, licensed in Oklahoma (18067) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Tulsa Spine & Specialty Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1991).

NPPES Registry Identity

NPI1265494314
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMARK WALLERCredential: M.D.
Location Address1611 S UTICA AVE, STE 217Tulsa, OK 74104-4909
Mailing Address1611 S Utica Ave, Ste 217Tulsa, OK 74104-4909 · (918) 744-3664 · Fax (918) 748-7688
Fax(918) 748-7688
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1991
Enumeration DateApril 4, 2006
Last NPPES UpdateMay 28, 2015
NPI 1265494314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in OK · 18067
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1611 S UTICA AVE, Tulsa, OK 74104

Other Identifiers 4

Medicare UPINF72671OK
Medicaid100031900AOK
Medicare PIN249601305OK
OtherP00370953OK · Rr Medicare

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

Mark Waller 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 ID3971527086
PECOS Enrollment IDI20060117000277
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 3

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.

Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
19 services19 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
14 services14 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Tulsa Spine & Specialty Hospital

Acute Care Hospitals · Tulsa, OK
OwnershipProprietary
CMS Certification Number370216
Location6901 South Olympia AvenueTulsa, OK 74132 · Tulsa County
Emergency services

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.

Marriage & Family Therapist
1611 S UTICA AVE, #403
TULSA, OK 74104
Dentist (General Practice)
1611 S UTICA AVE, # 401
TULSA, OK 74104
Anesthesiology
1611 S UTICA AVE, BOX 217
TULSA, OK 74104
Anesthesiology
1611 S UTICA AVE, BOX 217
TULSA, OK 74104
Anesthesiology
1611 S UTICA AVE, SUITE 217
TULSA, OK 74104
Anesthesiology
1611 S UTICA AVE, STE 617
TULSA, OK 74104
Anesthesiology
1611 S UTICA AVE, STE 217
TULSA, OK 74104
Anesthesiology
1611 S UTICA AVE, STE 217
TULSA, OK 74104

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 Mark Waller's NPI number?

The NPI number for Mark Waller is 1265494314. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Mark Waller located?

Mark Waller practices at 1611 S Utica Ave Ste 217, Tulsa, OK 74104. The listed phone number is (918) 744-3664.

What is Mark Waller's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Mark Waller enrolled in Medicare?

Yes. Mark Waller 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 Mark Waller accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Mark Waller 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 Mark Waller affiliated with any hospitals?

According to CMS data, Mark Waller is affiliated with Tulsa Spine & Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Mark Waller was last updated on May 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.