Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Justin R Walters , DO

Surgery β€’ Chillicothe, MO

Active NPI 1497038640 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2791 N Washington St
Chillicothe, MO 646012902

Call 6606462682 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2791 N Washington St

Chillicothe, MO 646012902

Telephone 6606462682
Organization at the Same NPPES Address or Phone
Saint Lukes Hospital Of Chillicothe Facility NPI 1437191095

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Saint Lukes Hospital Of Chillicothe. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Lincoln Memorial University Medical Department

Graduation Year

2019

Industry payments (Open Payments)

Fewer than 11 payment records totaling $18.46 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Walters has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Walters as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chillicothe and Missouri

2 active clinicians are listed under Surgery with a practice address in Chillicothe, MO (715 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $18.46.

Manufacturer Payment Nature Product Type Amount ($)
Novo Nordisk Inc
Food and Beverage
In-kind items and services
β€” General $18.46

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-12
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES MO 2024028238

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20240821001935

Enrollment State Jurisdiction

MO

PECOS Control ID

5092960252

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Saint Lukes Hospital Of Chillicothe

2791 N Washington St, Chillicothe, MO 646012902

Phone: 8166461480

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Krista Clark , DO

Family Medicine

NPI 1962727743

Doctor of Osteopathic Medicine (D.O.)

Dr. Delos Clow , DO

Obstetrics & Gynecology

NPI 1417949785

Doctor of Osteopathic Medicine (D.O.)

Dr. Edna Decastro , MD

Internal Medicine

NPI 1881647170

Doctor of Medicine (M.D.)

Megan Garber

Nurse Practitioner - Family

NPI 1649941352
NPI 1689740938

Doctor of Osteopathic Medicine (D.O.)

Ammie Wire , FNP-C

Family Medicine

NPI 1669853982

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location August 12, 2024

Registered at 2791 N WASHINGTON ST, CHILLICOTHE, MO 646012902 (Tel: 6606462682)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2024

Surgery (license number reported to NPPES: MO 2024028238)

πŸ“
Updated Practice Location April 12, 2019

Registered at 1410 N 4TH ST E, LOUISBURG, KS 660536459 (Tel: 9134397485)

πŸ“
Updated Business Mailing Address April 12, 2019

Registered at 1410 N 4TH ST E, LOUISBURG, KS 660536459 (Tel: 9134397485)

πŸ‘€
Provider Name / Credentials Updated April 12, 2019

Recorded as JUSTIN WALTERS, DO

βœ…
NPI Profile Active September 23, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 23, 2011

Registered at 370 N PINE ST, GARDNER, KS 660301606 (Tel: 9134397485)

πŸ“
Business Mailing Address (Initial Record) September 23, 2011

Registered at 370 N PINE ST, GARDNER, KS 660301606 (Tel: 9134397485)

πŸ‘€
Provider Name / Credentials (Initial Record) September 23, 2011

Recorded as JUSTIN WALTERS, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2011

Chiropractor (license number reported to NPPES: KS T03149)

🟒
Initial NPI Registration & Enumeration September 23, 2011

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1497038640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2011
Last Update: August 12, 2024
Sole Proprietor: No

Mailing Address

1410 N 4th St E

Louisburg, KS 660536459

Phone: 9134397485

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.