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DR. WILLIAM MARK WALTERS M.D.
NPI 1659396950
Family Medicine in Cleveland, GA

Active since July 13, 2006PECOS Enrolled
79.77/100
CMS Quality Rating
2578 HELEN HWY, CLEVELAND, GA 30528(770) 219-9260(770) 219-9261 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2020, Apr 15, 2020, Mar 22, 2018 and 1 more (4 updates tracked since 2017).

About Dr. William Mark Walters M.d. NPPES

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

DR. WILLIAM MARK WALTERS M.D. (NPI 1659396950) is an individual family medicine provider in Cleveland, Georgia, licensed in Georgia (028904) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Murphy.

NPPES Registry Identity

NPI1659396950
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM MARK WALTERSCredential: M.D.
Location Address2578 HELEN HWYCleveland, GA 30528-2848
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 219-9260
Fax(770) 219-9261
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateOctober 7, 20204 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1659396950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 028904
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 028904 (GA), 38570 (NC)
2578 HELEN HWY, Cleveland, GA 30528
Open in Google Maps ↗

Secondary Practice Location 1

Location 13990 E US 64 AltMurphy, NC 28906-6843 · Phone (828) 837-8161 · Fax (828) 835-7521

Other Identifiers 1

Medicaid898553BNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.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)

Dr. William Mark Walters M.d. 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 3

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 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.
43 services42 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
21 services21 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30528 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.05
Promoting Interoperability100
Improvement Activities40
Cost50.53

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.

ISAAC ALEXANDER ROY FNP
Nurse Practitioner (Family)
2578 HELEN HWY
CLEVELAND, GA 30528
White County (770) 219-9260
LINDSAY KALANI PATTERSON M.D.
Family Medicine
2578 HELEN HWY
CLEVELAND, GA 30528
White County (770) 219-9260
ANDREW STOW FNP-BC
Nurse Practitioner (Family)
2578 HELEN HWY
CLEVELAND, GA 30528
White County (770) 219-9260
KELLI NICHOLE ADAMS ACNP
Nurse Practitioner (Acute Care)
2578 HELEN HWY
CLEVELAND, GA 30528
White County (770) 219-9260
MS. ANN PATRICIA SHANNON LCSW
Social Worker (Clinical)
2578 HELEN HWY
CLEVELAND, GA 30528
White County (770) 219-9100
APRIL LEIGHANNE BECK FNP-C
Nurse Practitioner (Family)
2578 HELEN HWY
CLEVELAND, GA 30528
White County (770) 219-9100
DR. KELLY MACKEY MD
Family Medicine
2578 HELEN HWY
CLEVELAND, GA 30528
White County (770) 219-9260
JANE NIX ALLEN FNP-C
Nurse Practitioner (Family)
2578 HELEN HWY
CLEVELAND, GA 30528
White County (706) 348-4280

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 William Walters's NPI number?

The NPI number for William Walters is 1659396950. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is William Walters located?

William Walters practices at 2578 Helen Hwy, Cleveland, GA 30528. The listed phone number is (770) 219-9260.

What is William Walters's specialty?

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

Is William Walters enrolled in Medicare?

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

What insurance does William Walters accept?

Health plans from Oscar Health Plan of North Carolina, Inc list William 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 William Walters was last updated on October 7, 2020. 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.