MR. LESLIE RAY WALTMAN III CRNA
NPI 1790053569
Nurse Anesthetist, Certified Registered in Overland Park, KS
About Mr. Leslie Ray Waltman Iii Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LESLIE RAY WALTMAN III CRNA (NPI 1790053569) is an individual nurse anesthetist, certified registered in Overland Park, Kansas, licensed in Missouri (2012006261) and active in the NPI registry since December 2011. He is affiliated with Lake Regional Health System and is a graduate of University Of Alabama School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Leslie Ray Waltman Iii Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Leslie Waltman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Osage Beach, MO 65065
- Reassigned Medicare billing, Missouri enrollment
- 27 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Regional Health System
Acute Care Hospitals · Osage Beach, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 66210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OVERLAND PARK, KS 66210
OVERLAND PARK, KS 66210
OVERLAND PARK, KS 66210
OVERLAND PARK, KS 66210
OVERLAND PARK, KS 66210
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 Leslie Waltman's NPI number?
The NPI number for Leslie Waltman is 1790053569. It was assigned to this individual provider in the NPPES registry on December 8, 2011.
Where is Leslie Waltman located?
Leslie Waltman practices at 8717 W 110th St Suite 600, Overland Park, KS 66210. The listed phone number is (205) 474-3208.
What is Leslie Waltman's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Leslie Waltman enrolled in Medicare?
Yes. Leslie Waltman 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.
Which organization bills Medicare for Leslie Waltman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Waltman reassigns Medicare benefits to Lake Ozark Anesthesia & Associates, Inc (Osage Beach, MO). 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 Leslie Waltman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Leslie Waltman affiliated with any hospitals?
According to CMS data, Leslie Waltman is affiliated with Lake Regional Health System.
When was this NPI record last updated?
The NPPES record for Leslie Waltman was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Leslie Ray Waltman III, CRNA · NPI 1790053569
Nurse Anesthetist, Certified Registered physician in Overland Park, Kansas. Individual provider, active in the CMS NPPES registry since December 8, 2011.
## Identity
- **NPI:** 1790053569 (Entity type: Individual)
- **Enumerated:** December 8, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2012006261 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 8717 W 110TH ST, SUITE 600, Overland Park, KS 66210-2144
- **Phone:** (205) 474-3208
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Lake Ozark Anesthesia & Associates, Inc (NPI 1184719049, Osage Beach, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** February 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1790053569) · Data from the CMS NPPES public registry.