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KENNETH CHRISTIAN WALTERS MD
NPI 1619005469
Surgery in Wilmington, NC

Active since March 02, 2007PECOS Enrolled
2131 S 17TH ST, WILMINGTON, NC 28401(910) 667-7000(910) 662-8909 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2024, May 17, 2024 (2 updates tracked since 2024).

About Kenneth Christian Walters Md NPPES

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

KENNETH CHRISTIAN WALTERS MD (NPI 1619005469) is an individual surgery provider in Wilmington, North Carolina, licensed in North Carolina (2024-01721) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1619005469
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKENNETH CHRISTIAN WALTERSCredential: MD
Location Address2131 S 17TH STWilmington, NC 28401-7407
Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 667-7000 · Fax (910) 662-8909
Phone(910) 667-7000
Fax(910) 662-8909
Sole ProprietorNo
Enumeration DateMarch 2, 2007
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
✔ NPI 1619005469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NC · 2024-01721✔ Licensed in AR · E-7272✔ Licensed in GA · 069664
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License 069664 (GA), 2024-01721 (NC), E-7272 (AR)
2131 S 17TH ST, Wilmington, NC 28401
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Secondary Practice Locations 4

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-3941
Location 22601 Gene George BlvdSpringdale, AR 72762-0845 · Phone (479) 725-6800 · Fax (479) 725-6582
Location 31180 Ernest W Barrett Pkwy NW Ste 102EKennesaw, GA 30144-4534 · Phone (943) 202-7820 · Fax (470) 986-7169
Location 4677 Church St NEMarietta, GA 30060-1101 · Phone (770) 793-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Christian 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kenneth Walters reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group Coastal Region, LLC
Same address
Internal Medicine
2131 S 17TH ST
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 710 clinicians in this Medicare group
NPI 1033799556 (910) 662-9300
Au Medical Associates Inc
239 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273
Elliot Professional Services
700 mi
Internal Medicine
1070 HOLT AVE, UNIT 1, SUITE 2200
Manchester, NH 03109
  • Reassigned Medicare billing, New Hampshire enrollment
  • 446 clinicians in this Medicare group
NPI 1285627935 (603) 663-4900
Arkansas Childrens Hospital
817 mi
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526
University Of Arkansas For Medical Sciences
820 mi
Psychologist
1 CHILDRENS WAY # 653
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1114255353 (501) 364-1100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 20

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

NEW HANOVER REGIONAL MEDICAL CENTER
Rehabilitation Hospital
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 343-7000
CAROLYN JONES
Nurse Practitioner (Neonatal, Critical Care)
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-2970
CHRISTIAN SANCHEZ M.D.
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-7000
KATHRYN GENCIE NEWELL DO
Family Medicine
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 343-7000
NICOLE BRITT RN
Registered Nurse (Critical Care Medicine)
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 343-7000
LI NICHOLS MD
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-7000
JAMES ADGENT MD
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 667-7000
NANNETTE B MARTIN NP
Nurse Practitioner
2131 S 17TH ST
WILMINGTON, NC 28401
New Hanover County (910) 772-9202

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 Kenneth Walters's NPI number?

The NPI number for Kenneth Walters is 1619005469. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Kenneth Walters located?

Kenneth Walters practices at 2131 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 667-7000.

What is Kenneth Walters's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kenneth Walters enrolled in Medicare?

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

Which organizations bill Medicare for Kenneth Walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Walters reassigns Medicare benefits to 5 organizations: Novant Health Medical Group Coastal Region, LLC (Wilmington, NC), Au Medical Associates Inc (Augusta, GA), Elliot Professional Services (Manchester, NH), Arkansas Childrens Hospital (Little Rock, AR) and University Of Arkansas For Medical Sciences (Little Rock, AR). Each 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 Kenneth Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Walters accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 6 other insurers list Kenneth 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 Kenneth Walters was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.