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THEODORE A WALTERS MD
NPI 1821016718
Internal Medicine - Medical Oncology in Boise, ID

Active since July 18, 2006PECOS Enrolled
100 E IDAHO ST, BOISE, ID 83712(208) 381-2711(208) 381-4025 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore A Walters Md NPPES

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

THEODORE A WALTERS MD (NPI 1821016718) is an individual medical oncology provider in Boise, Idaho, licensed in Idaho (M3117) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821016718
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameTHEODORE A WALTERSCredential: MD
Location Address100 E IDAHO STBoise, ID 83712-6267
Mailing Address1923s Roosevelt StBoise, ID 83705-3259 · (208) 861-2589
Phone(208) 381-2711
Fax(208) 381-4025
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateDecember 28, 2015
✔ NPI 1821016718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in ID · M3117
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License M3117 (ID)
100 E IDAHO ST, Boise, ID 83712
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN20000316ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore A Walters Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

DR. NATHAN D MEEKER M.D.
Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2782
MCKAY HERPEL PHARMD
Pharmacist (Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-3108
DR. FREDERICK K EMGE MD
Pediatrics (Pediatric Cardiology)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Ada County (208) 381-7384
DAN S ZUCKERMAN MD
Internal Medicine (Hematology & Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
MISTY NEISEN
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
AMY MERCER RD
Dietitian, Registered
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-4011
DAVID B BETTIS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 E IDAHO ST, STE 201
BOISE, ID 83712
Ada County (208) 381-5180
VIVIANA BAEZA NUNEZ
Massage Therapist
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 706-5287

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 Theodore Walters's NPI number?

The NPI number for Theodore Walters is 1821016718. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Theodore Walters located?

Theodore Walters practices at 100 E Idaho St, Boise, ID 83712. The listed phone number is (208) 381-2711.

What is Theodore Walters's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Theodore Walters enrolled in Medicare?

Yes. Theodore Walters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Walters was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.