DR. WALTER WAYNE WOLF III D.O.
NPI 1679531545
Surgery in Bolivar, MO
About Dr. Walter Wayne Wolf Iii D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WALTER WAYNE WOLF III D.O. (NPI 1679531545) is an individual surgery provider in Bolivar, Missouri, licensed in Missouri (2001013753) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Kansas City College Of Medicine And Surgery (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Walter Wayne Wolf Iii D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Walter Wolf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bolivar, MO 65613
- Reassigned Medicare billing, Missouri enrollment
- 249 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Citizens Memorial Hospital
Acute Care Hospitals · Bolivar, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOLIVAR, MO 65613
BOLIVAR, MO 65613
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 Wolf's NPI number?
The NPI number for Walter Wolf is 1679531545. It was assigned to this individual provider in the NPPES registry on May 2, 2006.
Where is Walter Wolf located?
Walter Wolf practices at 1155 W Parkview St Suite 1F, Bolivar, MO 65613. The listed phone number is (417) 326-8700.
What is Walter Wolf's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Walter Wolf enrolled in Medicare?
Yes. Walter Wolf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Walter Wolf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Walter Wolf reassigns Medicare benefits to Citizens Memorial Healthcare (Bolivar, MO). The 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 Walter Wolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Walter Wolf accept?
Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Walter Wolf 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.
Is Walter Wolf affiliated with any hospitals?
According to CMS data, Walter Wolf is affiliated with Citizens Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Walter Wolf was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Walter Wayne Wolf III, D.O. · NPI 1679531545
Surgery physician in Bolivar, Missouri. Individual provider, active in the CMS NPPES registry since May 2, 2006.
## Identity
- **NPI:** 1679531545 (Entity type: Individual)
- **Enumerated:** May 2, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 2001013753 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1155 W PARKVIEW ST, SUITE 1F, Bolivar, MO 65613-8279
- **Phone:** (417) 326-8700 · **Fax:** (417) 777-8173
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Citizens Memorial Healthcare (NPI 1568566131, Bolivar, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City College Of Medicine And Surgery, class of 2001
## Record status
- **NPPES last updated:** December 10, 2015
- **Other identifiers:** Medicare OSCAR/certification 960293888
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Source: [NPI Profile](https://npiprofile.com/npi/1679531545) · Data from the CMS NPPES public registry.