PAUL A WALKER M.D.
NPI 1285627497
Otolaryngology in Fleming Island, FL

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
79.26/100
CMS Quality Rating
1747 BAPTIST CLAY DR, SUITE 230, FLEMING ISLAND, FL 32003(904) 592-1068(904) 541-4728 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2016, Nov 18, 2015 (2 updates tracked since 2015).

About Paul A Walker M.d. NPPES

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

PAUL A WALKER M.D. (NPI 1285627497) is an individual otolaryngology provider in Fleming Island, Florida, licensed in Florida (ME123209) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Rush Medical College Of Rush University (1991).

NPPES Registry Identity

NPI1285627497
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NamePAUL A WALKERCredential: M.D.
Location Address1747 BAPTIST CLAY DR, SUITE 230Fleming Island, FL 32003-8502
Mailing AddressPo Box 41113Jacksonville, FL 32203-1113 · (904) 202-5111 · Fax (904) 391-5836
Fax(904) 541-4728
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1991
Enumeration DateAugust 24, 2005
Last NPPES UpdateOctober 10, 20162 updates tracked since enumeration
NPI 1285627497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in FL · ME123209 Licensed in GA · 043504
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1747 BAPTIST CLAY DR, Fleming Island, FL 32003

Other Identifiers 5

Medicaid00744983AGA
Medicare UPING59315GA
Medicaid014718200FL
Medicare PIN04BDBQZGA
Medicare PINIF523ZFL

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 A Walker 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 ID1355447293
PECOS Enrollment IDI20150805008803
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 19

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,764 services60 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
2,270 services58 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
910 services25 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
454 services323 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.
370 services289 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.
177 services177 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32003 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

79.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

e-Prescribing
96%552 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%745 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 9

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

Physical Therapist
1747 BAPTIST CLAY DR, SUITE 100
FLEMING ISLAND, FL 32003
Obstetrics & Gynecology
1747 BAPTIST CLAY DR
FLEMING ISLAND, FL 32003
Audiologist
1747 BAPTIST CLAY DR
FLEMING ISLAND, FL 32003
Counselor (Mental Health)
1747 BAPTIST CLAY DR, SUITE 350
FLEMING ISLAND, FL 32003
Physical Therapist
1747 BAPTIST CLAY DR, SUITE 210
FLEMING ISLAND, FL 32003
Physical Therapist
1747 BAPTIST CLAY DR
FLEMING ISLAND, FL 32003
Clinic/Center (Multi-Specialty)
1747 BAPTIST CLAY DR
FLEMING ISLAND, FL 32003
Family Medicine
1747 BAPTIST CLAY DR, SUITE 340
FLEMING ISLAND, FL 32003

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 1285627497. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Paul Walker located?

Paul Walker practices at 1747 Baptist Clay Dr Suite 230, Fleming Island, FL 32003. The listed phone number is (904) 592-1068.

What is Paul Walker's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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 AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare 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 Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Paul Walker was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.