JUSTIN WALLER DPM
NPI 1760122006
Podiatrist - Foot & Ankle Surgery in Hickory, NC
About Justin Waller Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN WALLER DPM (NPI 1760122006) is an individual foot & ankle surgery provider in Hickory, North Carolina, licensed in North Carolina (852) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Catawba Valley Medical Center, and is a graduate of Temple University School Of Podiatric Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
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
Justin Waller Dpm 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Catawba Valley Medical Center
Acute Care Hospitals · Hickory, NCOther Providers at the Same Location NPPES 20
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 Justin Waller's NPI number?
The NPI number for Justin Waller is 1760122006. It was assigned to this individual provider in the NPPES registry on April 1, 2022.
Where is Justin Waller located?
Justin Waller practices at 1501 Tate Blvd SE, Hickory, NC 28602. The listed phone number is (828) 304-0400.
What is Justin Waller's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Justin Waller enrolled in Medicare?
Yes. Justin Waller 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 Justin Waller accept?
Health plans from Blue Cross and Blue Shield of NC list Justin Waller 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 Justin Waller affiliated with any hospitals?
According to CMS data, Justin Waller is affiliated with Catawba Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Justin Waller was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Justin Waller, DPM · NPI 1760122006
Foot & Ankle Surgery provider in Hickory, North Carolina. Individual provider, active in the CMS NPPES registry since April 1, 2022.
## Identity
- **NPI:** 1760122006 (Entity type: Individual)
- **Enumerated:** April 1, 2022
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 852 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 TATE BLVD SE, Hickory, NC 28602-1384
- **Phone:** (828) 304-0400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Temple University School Of Podiatric Medicine, class of 2022
## Record status
- **NPPES last updated:** May 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760122006) · Data from the CMS NPPES public registry.