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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: November 01, 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
Phone(314) 367-5820
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
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Other Identifiers 1

Medicaid1669423976MO

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Walton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St. Louis
3.2 mi
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1366400855 (314) 768-8000
Ssm Cardinal Glennon Childrens Hospital
12 mi
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1073568226 (314) 268-4070

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 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.

MS. CARLA DAUGHERTY DDS
Dentist
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. JETUAN L ROWLEY-HERRON M.D.
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. ANDREA LASHELLE BRUCE LPN
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. TERESITA AGUSTIN COMETA MD
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
DR. LAILA G. GABRAWY M.D.
Ophthalmology
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
RODELYNN RICHEE LPN
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. PAMELA LATONIA MARSHALL RPH
Pharmacist
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. MARGARET CHINYERE NWAOBASI RN MSN
Registered Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820

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.

Which organizations bill Medicare for Timothy Walton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Walton reassigns Medicare benefits to 2 organizations: Ssm Health Care St. Louis (Saint Louis, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). 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 Timothy Walton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.