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DR. WALTER CLARK BOUTWELL MD
NPI 1316908809
Pediatrics - Neonatal-Perinatal Medicine in Pike Road, AL

Active since April 01, 2006PECOS Enrolled
207 HUNTER TRL, PIKE ROAD, AL 36064(334) 657-7198(334) 272-4876 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Walter Clark Boutwell Md NPPES

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

DR. WALTER CLARK BOUTWELL MD (NPI 1316908809) is an individual neonatal-perinatal medicine provider in Pike Road, Alabama, licensed in Pennsylvania (MD-014439-E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316908809
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. WALTER CLARK BOUTWELLCredential: MD
Location Address207 HUNTER TRLPike Road, AL 36064-3415
Mailing Address207 Hunter TrlPike Road, AL 36064-3415 · (334) 657-7198 · Fax (334) 272-4876
Phone(334) 657-7198
Fax(334) 272-4876
Sole ProprietorYes
Enumeration DateApril 1, 2006
Last NPPES UpdateAugust 28, 2012
✔ NPI 1316908809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in PA · MD-014439-E
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
207 HUNTER TRL, Pike Road, AL 36064
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Other Identifiers 3

Medicare UPINC-04258CT
Medicaid4630520MI
Medicaid001312743CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Walter Clark Boutwell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Walter Boutwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Health Medical Services
706 mi
Orthopaedic Surgery
144 S 8TH ST STE 107
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1417558008 (717) 414-7798

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Boutwell's NPI number?

The NPI number for Walter Boutwell is 1316908809. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is Walter Boutwell located?

Walter Boutwell practices at 207 Hunter Trl, Pike Road, AL 36064. The listed phone number is (334) 657-7198.

What is Walter Boutwell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Walter Boutwell enrolled in Medicare?

Yes. Walter Boutwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Walter Boutwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Boutwell reassigns Medicare benefits to Pinnacle Health Medical Services (Chambersburg, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Walter Boutwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Walter Boutwell was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.