IAN WALTERS MD, MA
NPI 1689249427
Family Medicine in San Bernardino, CA

Q: What is Ian Walters's NPI number?

The NPI number for Ian Walters is 1689249427. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Q: What is Ian Walters's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Walters was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 May 24, 2021PECOS EnrolledAccepts Medicare Assignment

250 S G ST, SAN BERNARDINO, CA 92410(909) 382-7100 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2024, Aug 19, 2024, Apr 15, 2024 and 2 more (5 updates tracked since 2021).

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About Ian Walters Md, Ma NPPES

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

IAN WALTERS MD, MA (NPI 1689249427) is an individual family medicine provider in San Bernardino, California, licensed in California (A197783) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2021).

NPPES Registry Identity

NPI1689249427

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameIAN WALTERSCredential: MD, MA

Location Address250 S G STSan Bernardino, CA 92410-3320

Mailing Address250 S G StSan Bernardino, CA 92410-3320 · (909) 382-7100

Phone(909) 382-7100

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2021

Enumeration DateMay 24, 2021

Last NPPES UpdateSeptember 5, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1689249427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A197783✔ Licensed in GU · TLL-2024-006

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

250 S G ST, San Bernardino, CA 92410

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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 and accepts Medicare assignment

Ian Walters Md, Ma 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 ID9830637123

PECOS Enrollment IDI20240819000081

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 92410 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

ROBERT WILLIAM WATROUS MD

Family Medicine (Addiction Medicine)