PAUL W WALKER MD
NPI 1265633051
Urology in Baton Rouge, LA

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
61.68/100
CMS Quality Rating
10310 THE GROVE BLVD, BATON ROUGE, LA 70836(225) 761-5200 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul W Walker Md NPPES

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

PAUL W WALKER MD (NPI 1265633051) is an individual urology provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.202636) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2007).

NPPES Registry Identity

NPI1265633051
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NamePAUL W WALKERCredential: MD
Location Address10310 THE GROVE BLVDBaton Rouge, LA 70836-6455
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2007
Enumeration DateMay 30, 2007
Last NPPES UpdateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
NPI 1265633051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in LA · MD.202636
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
10310 THE GROVE BLVD, Baton Rouge, LA 70836

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

Paul W Walker 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 ID1456507367
PECOS Enrollment IDI20131113001369
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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
206 services140 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services94 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
47 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
22 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70836 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

61.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.93
Improvement Activities40
Cost44.37

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%899 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
98%181 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,921 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
85%716 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%106 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%712 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
12%1,483 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 746 patients
Patients tobacco: 90% · 746 patients
85%94 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%712 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%712 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 570 patients
1%570 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers19 claims32 services$7.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Nurse Practitioner (Family)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Pathology (Anatomic Pathology & Clinical Pathology)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Nurse Anesthetist, Certified Registered
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Social Worker
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Surgery
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Registered Nurse (Registered Nurse First Assistant)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836

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 Paul Walker's NPI number?

The NPI number for Paul Walker is 1265633051. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Paul Walker located?

Paul Walker practices at 10310 The Grove Blvd, Baton Rouge, LA 70836. The listed phone number is (225) 761-5200.

What is Paul Walker's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Walker enrolled in Medicare?

Yes. Paul Walker 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 Paul Walker accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Paul Walker 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 Paul Walker affiliated with any hospitals?

According to CMS data, Paul Walker is affiliated with Our Lady Of The Lake Regional Medical Center, Baton Rouge General Medical Center and Ochsner Medical Center - Baton Rouge.

When was this NPI record last updated?

The NPPES record for Paul Walker was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.