Dr. Jack Ryan Walter , MD
Urology • Tacoma, WA
9040 Jackson Ave Mamc Urology
Tacoma, WA 98431
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 9, 2006; this date does not establish years in practice.
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Published CMS data list 2,906 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- Q9967 — Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml: 2,072 service units.
- 99214 — Established patient outpatient office visit: 245 service units.
- 52000 — Diagnostic exam of bladder and urethra using an endoscope: 81 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 20 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 494 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl — 112 prescription fills, including refills.
- Oxycodone Hcl — 70 prescription fills, including refills.
- Solifenacin Succinate — 55 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Urology in Tacoma, WA (2024, 13 clinicians with data). Median for this group: 662. Middle half: 51 to 1,185.
More Medicare Part B services than 85% of clinicians listed under Urology in Washington (2024, 191 clinicians with data). Median for this group: 802. Middle half: 338 to 1,756.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 344 in 2020 to 2,906 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
9040 Jackson Ave Mamc Urology
Tacoma, WA 98431
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Tacoma, WA; Wenatchee, WA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Multicare Health System. 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
Loma Linda University School Of Medicine
2000
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
327 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $105,749 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $79,373 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
777 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$29,502 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,742.46 across 13 records.
By nature of payment
- Education: $1,500.00 across 1 record.
- Food and Beverage: $690.24 across 9 records.
- Travel and Lodging: $552.22 across 3 records.
Reporting-company totals (3 largest of 6)
- INTUITIVE SURGICAL, INC.: $2,141.72 across 6 records.
- Procept Biorobotics Corporation: $242.17 across 2 records.
- COLOPLAST CORP: $193.98 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
26 years (graduated 2000)
CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2006
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Walter 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.
Can order Medicare-covered services
CMS lists Dr. Walter 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Tacoma and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Urology in Tacoma, WA (2024, 13 clinicians with data). Median for this group: 662. Middle half: 51 to 1,185.
More Medicare Part B services than 85% of clinicians listed under Urology in Washington (2024, 191 clinicians with data). Median for this group: 802. Middle half: 338 to 1,756.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Urology in Tacoma, WA (2024, 13 clinicians with data). Median for this group: $85,860. Middle half: $3,575 to $107,418.
A higher Medicare-allowed amount than 60% of clinicians listed under Urology in Washington (2024, 191 clinicians with data). Median for this group: $83,512. Middle half: $34,252 to $154,605.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Urology in Tacoma, WA (2024, 13 clinicians with data). Median for this group: $62,093. Middle half: $2,830 to $79,373.
A higher Medicare payment amount than 60% of clinicians listed under Urology in Washington (2024, 191 clinicians with data). Median for this group: $61,217. Middle half: $24,379 to $113,430.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Urology in Tacoma, WA (2024, 18 clinicians with data). Median for this group: 498. Middle half: 131 to 970.
Fewer Part D prescriptions than 60% of clinicians listed under Urology in Washington (2024, 225 clinicians with data). Median for this group: 732. Middle half: 221 to 1,224.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Urology in Tacoma, WA (2024, 18 clinicians with data). Median for this group: $13,402. Middle half: $2,485 to $35,056.
Close to the middle for clinicians listed under Urology in Washington (2024, 225 clinicians with data). Median for this group: $40,788. Middle half: $9,435 to $122,211.
28 active clinicians are listed under Urology with a practice address in Tacoma, WA (335 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tacoma
46.4% of these 28 clinicians have the CMS telehealth indicator.
60.7% of these 28 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 745% from 344 in 2020 to 2,906 in 2024.
- 2020: 344
- 2021: 816
- 2022: 3,545
- 2023: 6,515
- 2024: 2,906
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Medicare-allowed amount
Medicare-allowed amount increased 250% from $30,246 in 2020 to $105,749 in 2024.
- 2020: $30,246
- 2021: $82,610
- 2022: $92,905
- 2023: $134,083
- 2024: $105,749
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Paid by Medicare
Paid by Medicare increased 238% from $23,510 in 2020 to $79,373 in 2024.
- 2020: $23,510
- 2021: $60,350
- 2022: $67,397
- 2023: $100,228
- 2024: $79,373
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1135% from 40 in 2020 to 494 in 2024.
- 2020: 40
- 2021: 290
- 2022: 414
- 2023: 508
- 2024: 494
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30-day fills
30-day fills increased 896% from 78 in 2020 to 777 in 2024.
- 2020: 78
- 2021: 458
- 2022: 642
- 2023: 806
- 2024: 777
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Part D drug cost
Part D drug cost went from $883 in 2020 to $29,502 in 2024.
- 2020: $883
- 2021: $24,457
- 2022: $50,284
- 2023: $54,625
- 2024: $29,502
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $28.64 in 2021 to $2,742.46 in 2025.
- 2021: $28.64
- 2022: $44.72
- 2023: $1,171.87
- 2024: $1,541.33
- 2025: $2,742.46
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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
Program year 2025 (payments made January 1 – December 31, 2025): 13 records totaling $2,742.46.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| INTUITIVE SURGICAL, INC. |
Education
In-kind items and services
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DA VINCI SP | General | $1,500.00 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $304.85 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $228.37 |
| Procept Biorobotics Corporation |
Food and Beverage
Cash or cash equivalent
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AQUABEAM ROBOTIC SYSTEM | General | $149.45 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
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Titan | General | $145.15 |
| PROGENICS PHARMACEUTICALS, INC. |
Food and Beverage
In-kind items and services
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PYLARIFY | General | $104.42 |
| Procept Biorobotics Corporation |
Food and Beverage
In-kind items and services
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AQUABEAM ROBOTIC SYSTEM | General | $92.72 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $73.50 |
| COLOPLAST CORP |
Food and Beverage
In-kind items and services
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Titan | General | $48.83 |
| UROGEN PHARMA, INC. |
Food and Beverage
In-kind items and services
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JELMYTO | General | $35.66 |
| Laborie Medical Technologies Corp. |
Food and Beverage
Cash or cash equivalent
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— | General | $24.51 |
| INTUITIVE SURGICAL, INC. |
Travel and Lodging
In-kind items and services
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Da Vinci Surgical System | General | $19.00 |
| INTUITIVE SURGICAL, INC. |
Food and Beverage
In-kind items and services
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Da Vinci Surgical System | General | $16.00 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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Q9967
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
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2,072 | 16 | $1.00 | $0.12 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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245 | 186 | $343.00 | $123.93 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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81 | 72 | $651.00 | $235.53 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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62 | 62 | $449.00 | $165.99 |
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51702
Simple insertion of temporary bladder tube
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48 | 13 | $178.00 | $62.63 |
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51798
Ultrasound measurement of bladder capacity after voiding
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47 | 43 | $44.00 | $10.91 |
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74420
Imaging of urinary tract following injection of a contrast agent
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43 | 34 | $65.00 | $23.14 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
34 | 30 | $242.00 | $90.28 |
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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33 | 22 | $133.00 | $48.03 |
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51728
Complex measurement of pressure of urine flow in bladder with voiding pressure studies
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32 | 32 | $988.00 | $359.29 |
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51784
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings
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32 | 32 | $192.00 | $31.32 |
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51797
Insertion of device into abdomen with pressure and urine flow rate study
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32 | 32 | $522.00 | $187.31 |
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51600
Injection procedure for imaging of bladder during voiding
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25 | 25 | $585.00 | $110.01 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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24 | 22 | $553.00 | $168.63 |
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52332
Insertion of stent in ureter using an endoscope
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21 | 16 | $1890.52 | $142.84 |
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74455
Review by radiologist of urinary bladder and urethra images with contrast and after passing urine
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20 | 20 | $1490.00 | $99.88 |
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51741
Electronic assessment of bladder emptying
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17 | 17 | $44.00 | $7.15 |
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51701
Insertion of temporary bladder tube
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14 | 13 | $131.00 | $44.41 |
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52356
Crushing of stone of ureter with insertion of stent using an endoscope
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13 | 12 | $1249.23 | $360.89 |
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52005
Insertion of tube into ureter using an endoscope through bladder area
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11 | 11 | $822.00 | $79.68 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 112 | 7,278 | $1,084.54 | 51 |
| Oxycodone Hcl | Oxycodone Hcl | 70 | 122 | $133.86 | 61 |
| Solifenacin Succinate | Solifenacin Succinate | 55 | 2,583 | $1,970.10 | 20 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 44 | 390 | $243.19 | 36 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 42 | 952 | $254.93 | 23 |
| Finasteride | Finasteride | 34 | 2,340 | $347.13 | — |
| Trospium Chloride | Trospium Chloride | 33 | 1,444 | $1,457.14 | — |
| Ibuprofen | Ibuprofen | 28 | 213 | $155.17 | 26 |
| Myrbetriq | Mirabegron | 25 | 1,350 | $22,465.00 | — |
| Nitrofurantoin | Nitrofurantoin Macrocrystal | 23 | 1,278 | $1,032.56 | — |
| Cephalexin | Cephalexin | 14 | 371 | $126.18 | — |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 14 | 748 | $232.32 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - UROLOGY
I20160928002056
WA
0244331890
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
Multicare Health System
4700 Point Fosdick Dr, Gig Harbor, WA 983351706
Multicare Health System
311 S L St, Tacoma, WA 984053720
Multicare Health System
1901 S Union Ave, Tacoma, WA 984051702
Secondary Practice Locations
820 N Chelan Ave
Wenatchee, WA 988012028
Phone: 5096638711
3124 S 19th St Ste C320
Tacoma, WA 984052485
Phone: 2533015100
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 9040 JACKSON AVE MAMC UROLOGY, TACOMA, WA 98431 (Tel: 2539682300)
NPI status registered as active in NPPES database
Registered at 820 N CHELAN AVE, WENATCHEE, WA 988012028 (Tel: 5096638711)
Registered at 820 N CHELAN AVE, WENATCHEE, WA 988012028 (Tel: 5096638711)
Recorded as JACK WALTER, MD
Urology (license number reported to NPPES: WA MD60267047)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Tacoma
- Dr. Robert Ostericher, MD
- Dr. Alex Borchert, MD
- Dr. Jaspreet Parihar, MD
- Dr. Richard Johnston, MD
- Dr. Craig Iriye, MD
- Dr. Natasza Posielski, MD
Mailing Address
820 N Chelan Ave
Wenatchee, WA 988012028
Phone: 5096638711