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THOMAS S WALTER MD
NPI 1881681492
Obstetrics & Gynecology - Gynecology in Clearwater, FL

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
3251 N MCMULLEN BOOTH RD, STE 102, CLEARWATER, FL 33761(727) 669-6242 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas S Walter Md NPPES

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

THOMAS S WALTER MD (NPI 1881681492) is an individual gynecology provider in Clearwater, Florida, licensed in Florida (ME41933) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1881681492
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameTHOMAS S WALTERCredential: MD
Location Address3251 N MCMULLEN BOOTH RD, STE 102Clearwater, FL 33761-2022
Mailing Address3251 N Mcmullen Booth Rd, Suite #102Clearwater, FL 34698-2022 · (727) 669-6242
Phone(727) 669-6242
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateSeptember 29, 2005
Last NPPES UpdateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
✔ NPI 1881681492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · ME41933
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
3251 N MCMULLEN BOOTH RD, Clearwater, FL 33761
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Thomas S Walter Md 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 ID9133125792
PECOS Enrollment IDI20061005000036
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services66 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33761 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
57%563 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
86%1,190 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%965 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%330 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
34%1,769 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
52%1,568 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 88% · 1,410 patients
Patients tobacco: 3% · 67 patients
83%1,410 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,769 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
54%1,769 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%1,769 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

FLORIDA WOMAN CARE, LLC
Obstetrics & Gynecology
3251 N MCMULLEN BOOTH RD, STE 102
CLEARWATER, FL 33761
Pinellas County (727) 669-6811
S.G. WEISS, M.D., INC.
Specialist
3251 N MCMULLEN BOOTH RD, SUITE 300
CLEARWATER, FL 33761
Pinellas County (727) 791-3337
DR. STEVEN CHARLES BOWMAN MD
Internal Medicine
3251 N MCMULLEN BOOTH RD, SUITE 303
CLEARWATER, FL 33761
Pinellas County (727) 725-6110
DR. KATHLEEN LOUISE PEDITTO M.D.
Internal Medicine
3251 N MCMULLEN BOOTH RD, SUITE 103
CLEARWATER, FL 33761
Pinellas County (727) 799-6385
DR. STEVEN GARY WEISS M.D.
Pediatrics (Pediatric Allergy/Immunology)
3251 N MCMULLEN BOOTH RD, SUITE 300
CLEARWATER, FL 33761
Pinellas County (727) 791-3337
BOWMAN & HAMPSEY MEDICAL CLINIC, INC
Clinic/Center (Primary Care)
3251 N MCMULLEN BOOTH RD, SUITE 303
CLEARWATER, FL 33761
Pinellas County (727) 725-6110
BOWMAN & HAMPSEY MDSPA
Internal Medicine
3251 N MCMULLEN BOOTH RD, STE. 303
CLEARWATER, FL 33761
Pinellas County (727) 725-6112
BAYCARE HEALTH SYSTEM AGENT FOR TRUSTEES OF MEASE HOSPITAL
General Acute Care Hospital
3251 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761
Pinellas County (727) 725-6151

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 Thomas Walter's NPI number?

The NPI number for Thomas Walter is 1881681492. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Thomas Walter located?

Thomas Walter practices at 3251 N Mcmullen Booth Rd Ste 102, Clearwater, FL 33761. The listed phone number is (727) 669-6242.

What is Thomas Walter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Thomas Walter enrolled in Medicare?

Yes. Thomas Walter 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 Thomas Walter accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Thomas Walter 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.

When was this NPI record last updated?

The NPPES record for Thomas Walter was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.