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DR. WALTER J. FAGAN M.D.
NPI 1659703635
Surgery - Vascular Surgery in Jim Thorpe, PA

Active since August 01, 2013PECOS Enrolled
211 CENTER AVE, JIM THORPE, PA 18229(817) 845-1968 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Walter J. Fagan M.d. NPPES

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

DR. WALTER J. FAGAN M.D. (NPI 1659703635) is an individual vascular surgery provider in Jim Thorpe, Pennsylvania, licensed in Pennsylvania (MD035284E) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659703635
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. WALTER J. FAGANCredential: M.D.
Location Address211 CENTER AVEJim Thorpe, PA 18229-1205
Mailing Address211 Center AveJim Thorpe, PA 18229-1205 · (817) 845-1968
Phone(817) 845-1968
Sole ProprietorYes
Enumeration DateAugust 1, 2013
✔ NPI 1659703635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in PA · MD035284E
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
211 CENTER AVE, Jim Thorpe, PA 18229
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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. Walter J. Fagan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18229 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Fagan's NPI number?

The NPI number for Walter Fagan is 1659703635. It was assigned to this individual provider in the NPPES registry on August 1, 2013.

Where is Walter Fagan located?

Walter Fagan practices at 211 Center Ave, Jim Thorpe, PA 18229. The listed phone number is (817) 845-1968.

What is Walter Fagan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Walter Fagan enrolled in Medicare?

Yes. Walter Fagan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Fagan was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.