DR. CLINTON WALLS M.D.
NPI 1811376411
Family Medicine in Pierre, SD

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment
801 E SIOUX AVE, PIERRE, SD 57501(605) 224-3100 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 18, 2022, Apr 24, 2018, Feb 21, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Clinton Walls M.d. NPPES

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

DR. CLINTON WALLS M.D. (NPI 1811376411) is an individual family medicine provider in Pierre, South Dakota, licensed in Florida (ME134419) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Avera St Mary's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811376411
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CLINTON WALLSCredential: M.D.
Location Address801 E SIOUX AVEPierre, SD 57501-3323
Mailing Address7466 Ripetta StSarasota, FL 34240-4706 · (239) 677-0555
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 28, 2015
Last NPPES UpdateOctober 18, 20224 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1811376411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME134419✔ Licensed in GA · 076987
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 21875 (FL)
801 E SIOUX AVE, Pierre, SD 57501

Secondary Practice Locations 2

Location 11700 S Tamiami TrlSarasota, FL 34239-3509 · Phone (941) 917-4896 · Fax (941) 917-6884
Location 22780 Cleveland Ave, Ste 709Fort Myers, FL 33901-5858 · Phone (239) 343-2371

Accepted Insurance

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

Dr. Clinton Walls M.d. 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 ID3971862608
PECOS Enrollment IDI20220526001029
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Clinton Walls reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Emergency Medicine
801 E SIOUX AVE
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 197 clinicians in this Medicare group
Internal Medicine
1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 956 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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services47 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.
42 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
22 services16 patients

Hospital Affiliations CMS Care Compare

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

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57501 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

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.

Occupational Therapy Assistant
801 E SIOUX AVE
PIERRE, SD 57501
Family Medicine
801 E SIOUX AVE
PIERRE, SD 57501
Emergency Medicine
801 E SIOUX AVE
PIERRE, SD 57501
Physician Assistant (Medical)
801 E SIOUX AVE
PIERRE, SD 57501
Physical Therapist
801 E SIOUX AVE
PIERRE, SD 57501
Nurse Anesthetist, Certified Registered
801 E SIOUX AVE
PIERRE, SD 57501
Physical Therapist
801 E SIOUX AVE
PIERRE, SD 57501
Clinic/Center (Medical Specialty)
801 E SIOUX AVE
PIERRE, SD 57501

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 Clinton Walls's NPI number?

The NPI number for Clinton Walls is 1811376411. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Clinton Walls located?

Clinton Walls practices at 801 E Sioux Ave, Pierre, SD 57501. The listed phone number is (605) 224-3100.

What is Clinton Walls's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Clinton Walls enrolled in Medicare?

Yes. Clinton Walls 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 organizations bill Medicare for Clinton Walls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Walls reassigns Medicare benefits to 2 organizations: Avera St Marys (Pierre, SD) and Smh Physician Services Inc (Sarasota, FL). Each 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 Clinton Walls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clinton Walls accept?

Health plans from Avera Health Plans, Medica, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and Wellmark of South Dakota, Inc. list Clinton Walls 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 Clinton Walls affiliated with any hospitals?

According to CMS data, Clinton Walls is affiliated with Avera St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Clinton Walls was last updated on October 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.