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RICHARD EDWIN WALLER M.D.
NPI 1821001041
Family Medicine in Marks, MS

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
1024 MARTIN LUTHER KING DRIVE, MARKS, MS 38646(662) 326-3502(662) 326-2555 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Edwin Waller M.d. NPPES

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

RICHARD EDWIN WALLER M.D. (NPI 1821001041) is an individual family medicine provider in Marks, Mississippi, licensed in Mississippi (07067) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital North Ms, and is a graduate of University Of Mississippi School Of Medicine (1974).

NPPES Registry Identity

NPI1821001041
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD EDWIN WALLERCredential: M.D.
Location Address1024 MARTIN LUTHER KING DRIVEMarks, MS 38646-0289
Mailing AddressPo Box 289Marks, MS 38646-0289 · (662) 326-3500 · Fax (662) 326-7077
Phone(662) 326-3502
Fax(662) 326-2555
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1974
Enumeration DateAugust 15, 2006
Last NPPES UpdateMarch 1, 2017
✔ NPI 1821001041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 07067
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.
1024 MARTIN LUTHER KING DRIVE, Marks, MS 38646
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Other Identifiers 3

Medicaid00115098MS
Medicare UPINC47952MS
Medicare ID-Type Unspecified080000562MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare.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

Richard Edwin Waller 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 ID5698745420
PECOS Enrollment IDI20041129000760
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.

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital North Ms

Acute Care Hospitals · Oxford, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250034
Location1100 Belk Blvd /Po Box 946Oxford, MS 38655 · Lafayette County
Emergency services Birthing friendly

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38646 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 41

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
6 suppliers32 claims108 services$6.39 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers21 claims21 services$2.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers27 claims47 services$1.08 avg. paid by Medicare
Ostomy skin barrier, non-pectin based, paste, per ounce A4405
DME-Orthotic Devices · category DF010N
1 supplier13 claims32 services$3.15 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.38 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier32 claims2,720 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Richard Waller's NPI number?

The NPI number for Richard Waller is 1821001041. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Richard Waller located?

Richard Waller practices at 1024 Martin Luther King Drive, Marks, MS 38646. The listed phone number is (662) 326-3502.

What is Richard Waller's specialty?

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

Is Richard Waller enrolled in Medicare?

Yes. Richard 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 Richard Waller accept?

Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Richard 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 Richard Waller affiliated with any hospitals?

According to CMS data, Richard Waller is affiliated with Baptist Memorial Hospital North Ms and Baptist Memorial Hospital Desoto.

When was this NPI record last updated?

The NPPES record for Richard Waller was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.