WALTER MANLEY TATE PA-C
NPI 1407681356
Physician Assistant - Medical in Taneytown, MD

Active since September 02, 2024PECOS EnrolledAccepts Medicare Assignment
76 FREDERICK ST, TANEYTOWN, MD 21787(443) 974-0790(410) 848-5785 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2026, Sep 2, 2024 (2 updates tracked since 2024).

About Walter Manley Tate Pa-c NPPES

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

WALTER MANLEY TATE PA-C (NPI 1407681356) is an individual medical provider in Taneytown, Maryland and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407681356
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameWALTER MANLEY TATECredential: PA-C
Location Address76 FREDERICK STTaneytown, MD 21787-2135
Mailing Address5175 Feeser Rd WTaneytown, MD 21787-2836 · (443) 974-0790
Fax(410) 848-5785
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 2, 2024
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
NPI 1407681356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
76 FREDERICK ST, Taneytown, MD 21787

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 Manley Tate Pa-c 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 ID8628543337
PECOS Enrollment IDI20260410000747
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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
76 FREDERICK ST
TANEYTOWN, MD 21787
Pediatrics
76 FREDERICK ST
TANEYTOWN, MD 21787
Pediatrics
76 FREDERICK ST
TANEYTOWN, MD 21787

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 Tate's NPI number?

The NPI number for Walter Tate is 1407681356. It was assigned to this individual provider in the NPPES registry on September 2, 2024.

Where is Walter Tate located?

Walter Tate practices at 76 Frederick St, Taneytown, MD 21787. The listed phone number is (443) 974-0790.

What is Walter Tate's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Walter Tate enrolled in Medicare?

Yes. Walter Tate 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 Walter Tate was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.