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DR. GRACE JOY WALTON M.D.
NPI 1851419816
Internal Medicine in Columbus, OH

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
5109 W BROAD ST LOWR LEVEL, COLUMBUS, OH 43228(614) 544-1976(614) 544-1981 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2023, Feb 14, 2022, Feb 21, 2019 (3 updates tracked since 2019).

About Dr. Grace Joy Walton M.d. NPPES

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

DR. GRACE JOY WALTON M.D. (NPI 1851419816) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35-120935) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851419816
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GRACE JOY WALTONCredential: M.D.
Location Address5109 W BROAD ST LOWR LEVELColumbus, OH 43228-1648
Mailing Address5109 W Broad St Lowr LevelColumbus, OH 43228-1648 · (614) 544-1976 · Fax (614) 544-1981
Phone(614) 544-1976
Fax(614) 544-1981
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2007
Enumeration DateMarch 27, 2007
Last NPPES UpdateFebruary 8, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1851419816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35-120935
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.
Also ListedPediatricsTaxonomy 208000000X · License 35-120935 (OH)
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License 35.120935 (OH)
5109 W BROAD ST LOWR LEVEL, Columbus, OH 43228
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-5808
Location 2479 Parsons AveColumbus, OH 43215-5577 · Phone (614) 722-5136

Other Identifiers 1

Medicaid0823685OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, MedMutual.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. Grace Joy Walton 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 ID8820269939
PECOS Enrollment IDI20130501000651
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 Grace Walton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
7.7 mi
Family Medicine
3535 OLENTANGY RIVER RD
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1578545273 (614) 533-5500
Pediatric Academic Association, Inc.
8.4 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

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

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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$69.70 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAYNINE DIANE VADO DO
Internal Medicine
5109 W BROAD ST LOWR LEVEL
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. KATELYN RENEE BENNETT LEVI DO
Internal Medicine
5109 W BROAD ST LOWR LEVEL
COLUMBUS, OH 43228
Franklin County (614) 544-1976
LINDA THANH VONG D.O.
Internal Medicine
5109 W BROAD ST LOWR LEVEL
COLUMBUS, OH 43228
Franklin County (614) 544-1976

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 Grace Walton's NPI number?

The NPI number for Grace Walton is 1851419816. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Grace Walton located?

Grace Walton practices at 5109 W Broad St Lowr Level, Columbus, OH 43228. The listed phone number is (614) 544-1976.

What is Grace Walton's specialty?

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

Is Grace Walton enrolled in Medicare?

Yes. Grace Walton 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 Grace Walton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Walton reassigns Medicare benefits to 2 organizations: Ohiohealth Corporation (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). 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 Grace Walton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Walton accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and MedMutual list Grace Walton 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 Grace Walton affiliated with any hospitals?

According to CMS data, Grace Walton is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Grace Walton was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.