MR. SAMUEL GREY WALTER
NPI 1730468455
Social Worker - Clinical in Park City, UT

Active since August 11, 2011PECOS EnrolledAccepts Medicare Assignment
7766 BUCKBOARD DR, PARK CITY, UT 84098(801) 879-1444 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel Grey Walter NPPES

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

MR. SAMUEL GREY WALTER (NPI 1730468455) is an individual clinical provider in Park City, Utah and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1730468455
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SAMUEL GREY WALTER
Location Address7766 BUCKBOARD DRPark City, UT 84098-5315
Mailing Address7766 Buckboard DrPark City, UT 84098-5315 · (801) 879-1444
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 11, 2011
Last NPPES UpdateMay 1, 2023
NPPES CertifiedMay 1, 2023
NPI 1730468455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
7766 BUCKBOARD DR, Park City, UT 84098

Accepted 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

Mr. Samuel Grey Walter 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 ID8022338813
PECOS Enrollment IDI20150519000921
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 84098 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
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
7766 BUCKBOARD DR
PARK CITY, UT 84098

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 Samuel Walter's NPI number?

The NPI number for Samuel Walter is 1730468455. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Samuel Walter located?

Samuel Walter practices at 7766 Buckboard Dr, Park City, UT 84098. The listed phone number is (801) 879-1444.

What is Samuel Walter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samuel Walter enrolled in Medicare?

Yes. Samuel Walter 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.

What insurance does Samuel Walter accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Samuel Walter 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.

When was this NPI record last updated?

The NPPES record for Samuel Walter was last updated on May 1, 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.