Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GARRETT WILLIAMS WALLER MD
NPI 1659834299
Orthopaedic Surgery - Sports Medicine in Tulsa, OK

Q: What is Garrett Waller's NPI number?

The NPI number for Garrett Waller is 1659834299. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Garrett Waller's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Garrett Waller was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment

2488 E 81ST ST STE 290, TULSA, OK 74137(918) 494-2665(918) 927-3201 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2026, Apr 9, 2025, Jul 8, 2020 and 2 more (5 updates tracked since 2019).

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About Dr. Garrett Williams Waller Md NPPES

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

DR. GARRETT WILLIAMS WALLER MD (NPI 1659834299) is an individual sports medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (34971) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Oklahoma Surgical Hospital, Llc, and is a graduate of University Of Oklahoma College Of Medicine (2019).

NPPES Registry Identity

NPI1659834299

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. GARRETT WILLIAMS WALLERCredential: MD

Location Address2488 E 81ST ST STE 290Tulsa, OK 74137-4299

Mailing Address2488 E 81st St Ste 290Tulsa, OK 74137-4299 · (918) 494-2665 · Fax (918) 927-3201

Phone(918) 494-2665

Fax(918) 927-3201

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2019

Enumeration DateApril 10, 2019

Last NPPES UpdateJuly 23, 20265 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1659834299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in OK · 34971

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

2488 E 81ST ST STE 290, Tulsa, OK 74137

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica 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 and accepts Medicare assignment

Dr. Garrett Williams Waller Md 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 ID6901319367

PECOS Enrollment IDI20250630000613

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.

Hospital Affiliations CMS Care Compare 2

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

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK

5/5 CMS rating

OwnershipPhysician

CMS Certification Number370210

Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County

Emergency services

St John Owasso

Acute Care Hospitals · Owasso, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number370227

Location12451 East 100th Street NorthOwasso, OK 74055 · Tulsa County

Emergency services Birthing friendly

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.

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Physical Therapy Assistant