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MICHELLE PATRICIA WALKER MD
NPI 1780116517
Internal Medicine in Philadelphia, PA

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD., WEST PAVILION 4TH FL SUITE 4-900 W, PHILADELPHIA, PA 19104(215) 662-2300(215) 614-0418 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2022, Apr 13, 2022, Mar 11, 2022 and 1 more (4 updates tracked since 2017).

About Michelle Patricia Walker Md NPPES

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

MICHELLE PATRICIA WALKER MD (NPI 1780116517) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD473568) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1780116517
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMICHELLE PATRICIA WALKERCredential: MD
Location Address3400 CIVIC CENTER BLVD., WEST PAVILION 4TH FL SUITE 4-900 WPhiladelphia, PA 19104-5134
Mailing Address3400 Civic Center Blvd., West Pavilion 4th Fl Suite 4-900 WPhiladelphia, PA 19104-5134 · (215) 662-2300 · Fax (215) 614-0418
Phone(215) 662-2300
Fax(215) 614-0418
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 30, 2017
Last NPPES UpdateApril 18, 20224 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1780116517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD473568
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3400 CIVIC CENTER BLVD., Philadelphia, PA 19104
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Secondary Practice Location 1

Location 1501 S 54th StPhiladelphia, PA 19143-1900 · Phone (215) 662-2300 · Fax (215) 614-0418

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Michelle Patricia Walker Md 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 ID648673244
PECOS Enrollment IDI20210720001857
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
214 services113 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
107 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers19 claims73 services$6.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers17 claims33 services$1.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers123 claims125 services$189.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MONA AL MUKADDAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BLVD., WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
KATALIN SUSZTAK MD
Internal Medicine (Nephrology)
3400 CIVIC CENTER BLVD., 1ST FLOOR, SUITE 300 S
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2638
ILDIKO CSIKI MD
Radiology (Diagnostic Ultrasound)
3400 CIVIC CENTER BLVD., RAD ONC/TRC 2 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN CURRAN CAPELL MD
Dermatology
3400 CIVIC CENTER BLVD., 1-330S PERELMAN CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2737
DR. ALEXANDER LIN MD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD., CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
RENYU LIU MD
Anesthesiology
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
KRISTEN N KOBALY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BLVD., WEST PAVILION 4TH FL, SUITE 4-900 W
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
KAITLIN ELIZABETH CIOTOLI CRNP
Nurse Practitioner (Women's Health)
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310

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 Michelle Walker's NPI number?

The NPI number for Michelle Walker is 1780116517. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Michelle Walker located?

Michelle Walker practices at 3400 Civic Center Blvd. West Pavilion 4th Fl Suite 4-900 W, Philadelphia, PA 19104. The listed phone number is (215) 662-2300.

What is Michelle Walker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michelle Walker enrolled in Medicare?

Yes. Michelle Walker 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 Michelle Walker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michelle Walker 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 Michelle Walker affiliated with any hospitals?

According to CMS data, Michelle Walker is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Walker was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.