MR. TIMOTHY P WALTON MSN, RN, CPNP
NPI 1669423976
Nurse Practitioner - Pediatrics in Saint Louis, MO

Active since May 12, 2006PECOS Enrolled
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112(314) 367-5820(314) 623-6326 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Timothy P Walton Msn, Rn, Cpnp NPPES

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

MR. TIMOTHY P WALTON MSN, RN, CPNP (NPI 1669423976) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (133867) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669423976
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMR. TIMOTHY P WALTONCredential: MSN, RN, CPNP
Location Address5471 DR MARTIN LUTHER KING DRSaint Louis, MO 63112-4265
Mailing Address5471 Dr Martin Luther King DrSaint Louis, MO 63112-4265 · (314) 367-5820 · Fax (314) 623-6326
Fax(314) 623-6326
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
NPI 1669423976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MO · 133867
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN133867 (MO)
5471 DR MARTIN LUTHER KING DR, Saint Louis, MO 63112

Other Identifiers 1

Medicaid1669423976MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Timothy P Walton Msn, Rn, Cpnp 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 63112 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

Dentist
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
Ophthalmology
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
Pharmacist
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
Registered Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112

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 Timothy Walton's NPI number?

The NPI number for Timothy Walton is 1669423976. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Timothy Walton located?

Timothy Walton practices at 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112. The listed phone number is (314) 367-5820.

What is Timothy Walton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Timothy Walton enrolled in Medicare?

Yes. Timothy Walton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Walton was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.