JOHN WALTER M.D.
NPI 1285098384
Emergency Medicine in Lodi, CA

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
975 S FAIRMONT AVE, LODI, CA 95240(209) 334-3411 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Walter M.d. NPPES

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

JOHN WALTER M.D. (NPI 1285098384) is an individual emergency medicine provider in Lodi, California, licensed in California (155925) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of University Of Nevada School Of Medicine (2016).

NPPES Registry Identity

NPI1285098384
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN WALTERCredential: M.D.
Location Address975 S FAIRMONT AVELodi, CA 95240-5118
Mailing Address2315 Stockton BlvdSacramento, CA 95817-2201 · (916) 734-7950
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateOctober 11, 2019
NPI 1285098384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · 155925
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
975 S FAIRMONT AVE, Lodi, CA 95240

Secondary Practice Location 1

Location 12315 Stockton BlvdSacramento, CA 95817-2201 · Phone (916) 734-7950

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

John Walter 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 ID4587098439
PECOS Enrollment IDI20191231000237
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
403 services380 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
188 services183 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
35 services34 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.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95240 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost89.05

Reported Quality Measures

Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
92%25 patients
Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain
100%24 patients
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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$14.16 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.

Dietitian, Registered
975 S FAIRMONT AVE
LODI, CA 95240
Pathology (Anatomic Pathology & Clinical Pathology)
975 S FAIRMONT AVE
LODI, CA 95240
Emergency Medicine
975 S FAIRMONT AVE
LODI, CA 95240
Physician Assistant
975 S FAIRMONT AVE
LODI, CA 95240
Pharmacy (Clinic Pharmacy)
975 S FAIRMONT AVE, 2415 W VINE #104
LODI, CA 95240
Nurse Practitioner (Family)
975 S FAIRMONT AVE
LODI, CA 95240
Radiology (Diagnostic Radiology)
975 S FAIRMONT AVE
LODI, CA 95240
Pediatrics
975 S FAIRMONT AVE
LODI, CA 95240

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 John Walter's NPI number?

The NPI number for John Walter is 1285098384. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is John Walter located?

John Walter practices at 975 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 334-3411.

What is John Walter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Walter enrolled in Medicare?

Yes. John Walter 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.

When was this NPI record last updated?

The NPPES record for John Walter was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.