MR. ROBERT DANIEL WALKER PA
NPI 1639167703
Physician Assistant - Surgical in Tyler, TX


Quality Rating: 92.97 out of 100 score

NPI Status: Active since October 12, 2005

Contact Information

3414 GOLDEN RD
TYLER, TX
ZIP 75701
Phone: (903) 939-7500
Fax: (903) 939-7728

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  • Individual
  • Male
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • PECOS Enrolled
  • Medicare Quality Reporting

About ROBERT WALKER

This page provides the complete NPI Profile along with additional information for Robert Walker, a provider established in Tyler, Texas with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1639167703 assigned on October 2005. The practitioner's primary taxonomy code is 363AS0400X with license number PA01781 (TX). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1639167703
Provider Name
MR. ROBERT DANIEL WALKER PA
Gender
Male
Entity Type
Individual
Location Address
3414 GOLDEN RD TYLER, TX 75701
Location Phone
(903) 939-7500
Location Fax
(903) 939-7728
Mailing Address
PO BOX 130189 TYLER, TX 75713
Mailing Phone
(903) 939-7500
Mailing Fax
(903) 939-7728
Is Sole Proprietor?
No
Enumeration Date
10-12-2005
Last Update Date
01-21-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA01781
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • CHRISTUS Bronze - HMO
  • CHRISTUS Bronze Essential - HMO
  • CHRISTUS Bronze Essential Plus - HMO
  • CHRISTUS Bronze Plus - HMO
  • CHRISTUS Catastrophic - HMO
  • CHRISTUS Gold - HMO
  • CHRISTUS Gold Essential - HMO
  • CHRISTUS Gold Essential Plus - HMO
  • CHRISTUS Gold Plus - HMO
  • CHRISTUS Silver - HMO
  • CHRISTUS Silver Essential - HMO
  • CHRISTUS Silver Essential Plus - HMO
  • CHRISTUS Silver Plus - HMO
  • CHRISTUS Standard Expanded Bronze - HMO
  • CHRISTUS Standard Gold - HMO
  • CHRISTUS Standard Silver - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Robert Walker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Hernia repair - groin (open)

Hernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.

This service was performed for 1-10 patients

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 1-10 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

This service was performed 18 times for 18 patients

Repair of groin hernia (5 years or older)

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

This service was performed 12 times for 12 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.97, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 92.97 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 85.95

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Colorectal Cancer Screening 3% 116
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Documentation of Current Medications in the Medical Record 59% 286
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 98% 324
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Falls: Screening for Future Fall Risk 6% 107
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Medication Reconciliation 72% 81
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.
Patient-Specific Education 34% 271
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.
Pneumococcal Vaccination Status for Older Adults 7% 107
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Provide Patient Access 71% 271
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 certain information.
Secure Messaging 82% 271
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 message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.
Use of High-Risk Medications in the Elderly 19% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
107
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639167703
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669261470
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 6 + 1 + 4 + 7 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1639167703 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922059286MR. JAMES DANIEL WOODRUFF PTA
Individual
Physical Therapy Assistant3414 GOLDEN RD
TYLER, TX 75701
(903) 597-0837
1750586509 DANIEL W FULLER ATC. LAT.
Individual
Specialist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1407052103 JOEL E. GANGROSS LAT
Individual
Specialist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1992991947MR. JESSE P AMBURN LAT,ATC
Individual
Specialist/Technologist (Athletic Trainer)3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1588836373DR. MOONA ZIA KHAN M.D
Individual
Family Medicine3414 GOLDEN RD
TYLER, TX 75701
(903) 590-3050
1508155714 CHRISTINE TAMARA KNIGHT PT
Individual
Physical Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1386914638 JORDAN NICOLE SPARKS COTA
Individual
Occupational Therapy Assistant3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1760881932DR. DENNIS DALE CHOATE II DPT
Individual
Physical Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7550
1639129273MRS. CAROL RENEE HINOJOSA OTR
Individual
Occupational Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 597-0837
1891783122MR. JOHN FRANKLIN PRIDDY MD
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1710975032MR. JOHN FLETCHER WALKER MD
Individual
Orthopaedic Surgery3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1144329095 SABBIE LINDA BRASHER FNP-C
Individual
Internal Medicine3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1134326101MR. CHAD JOSEPH MCNEIL MD
Individual
Physical Medicine & Rehabilitation3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1285099515 DREW C WOOCK OT
Individual
Occupational Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7599
1124488622 MICHAEL PARCON PT
Individual
Physical Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7599
1346794849 JENNIFER TURNER
Individual
Nurse Practitioner3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1114466638 KRISTOPHER NEELY
Individual
Physical Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500
1770144701OLSV3 PLLC
Organization
Orthopaedic Surgery3414 GOLDEN RD
TYLER, TX 75701
(713) 799-2300
1336337674 COREY STARKS MOTR
Individual
Occupational Therapist3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7599
1467448159MR. ROBERT WAYNE DENNIS MD
Individual
Orthopaedic Surgery (Sports Medicine)3414 GOLDEN RD
TYLER, TX 75701
(903) 939-7500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639167703, enumerated in the NPI registry as an "individual" on October 12, 2005

The provider is located at 3414 Golden Rd Tyler, Tx 75701 and the phone number is (903) 939-7500

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and CHRISTUS. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Hernia repair - groin (open), Mastectomy, Removal of gallbladder with x-ray study of bile ducts using an endoscope and Repair of groin hernia (5 years or older).

This NPI record was last updated on October 12, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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