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MR. RANDALL WAYNE WALTERS MD
NPI 1427014794
Family Medicine in Harts, WV

Active since April 25, 2006PECOS Enrolled
100/100
CMS Quality Rating
22 FLEMING DR, HARTS, WV 25524(304) 855-4595(304) 855-9377 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Randall Wayne Walters Md NPPES

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

MR. RANDALL WAYNE WALTERS MD (NPI 1427014794) is an individual family medicine provider in Harts, West Virginia, licensed in West Virginia (22354) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427014794
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. RANDALL WAYNE WALTERSCredential: MD
Location Address22 FLEMING DRHarts, WV 25524-9788
Mailing AddressPo Box 1680Huntington, WV 25717-1680 · (304) 697-1396 · Fax (304) 697-2086
Phone(304) 855-4595
Fax(304) 855-9377
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateMay 29, 2015
✔ NPI 1427014794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 22354
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
22 FLEMING DR, Harts, WV 25524
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Other Identifiers 20

Medicare PINWV2707WV
Medicare PINWA2027411WV
Medicare PINWV2707C196WV
Medicare PINWV2707C830WV
Medicare PIN2027412WV
Medicare PIN2027414WV
Medicare PINWV2707CWV
Medicare UPING78063
Medicaid3810005193WV
Medicare PINWV2707AWV
Medicare PINWV2707C437WV
Medicare PINWV2707C729WV
Medicare PINWV2707DWV
Medicare PINWV2707C604WV
OtherP01128276WV · Medicare Rr Ptan
Medicare PINWV2707BWV
Medicare PIN2027415WV
Medicare PIN2027413WV
Medicare PINWV2707C197WV
Medicare PINWV2707EWV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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 (PECOS)

Mr. Randall Wayne Walters 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.

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.
142 services121 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.
137 services115 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
89 services84 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.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25524 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$19.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$110.99 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 11

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

TONYA FLEMING APRN, FNP-BC
Nurse Practitioner (Family)
22 FLEMING DR
HARTS, WV 25524
Lincoln County (304) 855-4595
CAROLINE CULVER PA-C
Physician Assistant
22 FLEMING DR
HARTS, WV 25524
Lincoln County (304) 855-4595
VALLEY HEALTH SYSTEMS INC
Registered Nurse
22 FLEMING DR
HARTS, WV 25524
Lincoln County (304) 855-4595
DR. JOHN M. FALBO D.D.S.
Dentist (General Practice)
22 FLEMING DR
HARTS, WV 25524
Lincoln County (304) 855-4595
JON PAUL KARDOS DDS
Dentist
22 FLEMING DR
HARTS, WV 25524
Lincoln County (304) 855-4595
VALLEY HEALTH SYSTEMS INC
Dentist
22 FLEMING DR
HARTS, WV 25524
Lincoln County (304) 855-4595
DUSTIN FILLINGER WV PHARMACY INTERN
Pharmacist
22 FLEMING DR
HARTS, WV 25524
Lincoln County (304) 855-4130
VALLEY HEALTH SYSTEMS, INC
Pharmacy (Community/Retail Pharmacy)
22 FLEMING DR
HARTS, WV 25524
Lincoln County (304) 781-5021

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 Randall Walters's NPI number?

The NPI number for Randall Walters is 1427014794. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Randall Walters located?

Randall Walters practices at 22 Fleming Dr, Harts, WV 25524. The listed phone number is (304) 855-4595.

What is Randall Walters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Randall Walters enrolled in Medicare?

Yes. Randall Walters is registered in the Medicare PECOS enrollment system.

What insurance does Randall Walters accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Randall Walters 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 Randall Walters was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.