CATHERINE WALLER MD
NPI 1750030375
Dermatology in Media, PA
About Catherine Waller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CATHERINE WALLER MD (NPI 1750030375) is an individual dermatology provider in Media, Pennsylvania, licensed in Pennsylvania (MD495421) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Catherine Waller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Catherine Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Media, PA 19063
- Reassigned Medicare billing, Pennsylvania enrollment
- 12 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19063 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Catherine Waller's NPI number?
The NPI number for Catherine Waller is 1750030375. It was assigned to this individual provider in the NPPES registry on March 21, 2022. The provider is also known as Catherine Smiley MD.
Where is Catherine Waller located?
Catherine Waller practices at 176 S New Middletown Rd Ste 203, Media, PA 19063. The listed phone number is (610) 566-7300.
What is Catherine Waller's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Catherine Waller enrolled in Medicare?
Yes. Catherine Waller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Catherine Waller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Waller reassigns Medicare benefits to Aesthetic Dermatology Associates, PC (Media, PA). 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 Catherine Waller'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 Catherine Waller was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.