MARGO WALTON
NPI 1427476472
Nurse Practitioner - Family in Callahan, FL

Active since April 06, 2014PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
542325 US HIGHWAY 1, CALLAHAN, FL 32011(866) 389-2727 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Margo Walton NPPES

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

MARGO WALTON (NPI 1427476472) is an individual family provider in Callahan, Florida, licensed in Florida (ARNP9277251) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1427476472
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARGO WALTON
Location Address542325 US HIGHWAY 1Callahan, FL 32011-6496
Mailing Address542325 Us Highway 1Callahan, FL 32011-6496 · (904) 556-5788
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 6, 2014
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
NPI 1427476472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · ARNP9277251
542325 US HIGHWAY 1, Callahan, FL 32011

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

Margo Walton 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 ID5092938845
PECOS Enrollment IDI20140522002013
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 9

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.

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.
188 services119 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
142 services109 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services71 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32011 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers14 claims28 services$6.13 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 14

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

Nurse Practitioner (Family)
542325 US HIGHWAY 1
CALLAHAN, FL 32011
Nurse Practitioner (Family)
542325 US HIGHWAY 1
CALLAHAN, FL 32011
Pharmacist
542325 US HIGHWAY 1
CALLAHAN, FL 32011
Pharmacist
542325 US HIGHWAY 1
CALLAHAN, FL 32011
Nurse Practitioner (Family)
542325 US HIGHWAY 1
CALLAHAN, FL 32011
Nurse Practitioner (Family)
542325 US HIGHWAY 1
CALLAHAN, FL 32011
Pharmacist
542325 US HIGHWAY 1
CALLAHAN, FL 32011
Nurse Practitioner (Family)
542325 US HIGHWAY 1
CALLAHAN, FL 32011

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 Margo Walton's NPI number?

The NPI number for Margo Walton is 1427476472. It was assigned to this individual provider in the NPPES registry on April 6, 2014.

Where is Margo Walton located?

Margo Walton practices at 542325 Us Highway 1, Callahan, FL 32011. The listed phone number is (866) 389-2727.

What is Margo Walton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Margo Walton enrolled in Medicare?

Yes. Margo Walton 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 Margo Walton accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Margo Walton 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 Margo Walton affiliated with any hospitals?

According to CMS data, Margo Walton is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Margo Walton was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.