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WALTER J REVELL JR. MD
NPI 1275641995
Surgery in Vidalia, GA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
305 W 1ST ST, VIDALIA, GA 30474(912) 538-9080(912) 538-9085 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Walter J Revell Jr. Md NPPES

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

WALTER J REVELL JR. MD (NPI 1275641995) is an individual surgery provider in Vidalia, Georgia, licensed in South Carolina (11191) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1974).

NPPES Registry Identity

NPI1275641995
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWALTER J REVELL JR.Credential: MD
Location Address305 W 1ST STVidalia, GA 30474-3302
Mailing Address305 W 1st StVidalia, GA 30474-3302 · (912) 538-9080 · Fax (912) 538-9085
Phone(912) 538-9080
Fax(912) 538-9085
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1974
Enumeration DateAugust 25, 2006
Last NPPES UpdateMay 1, 2018
✔ NPI 1275641995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · 11191
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
305 W 1ST ST, Vidalia, GA 30474
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Other Identifiers 1

Medicaid111916SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 J Revell Jr. 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 ID6800883489
PECOS Enrollment IDI20180820000953
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.

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
31 services22 patients
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603
This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES

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

PETERSON DERMATOLOGY, P.C.
Dermatology
305 W 1ST ST
VIDALIA, GA 30474
Toombs County (912) 538-9080

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 Revell's NPI number?

The NPI number for Walter Revell is 1275641995. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Walter Revell located?

Walter Revell practices at 305 W 1st St, Vidalia, GA 30474. The listed phone number is (912) 538-9080.

What is Walter Revell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Walter Revell enrolled in Medicare?

Yes. Walter Revell 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 Revell accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Walter Revell 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.

When was this NPI record last updated?

The NPPES record for Walter Revell was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.