Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275641995 Individual Practitioner Male Practitioner

Dr. Walter J Revell , MD

Surgery • Vidalia, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Walter Revell, MD is a certified Surgery practicing in Vidalia, GA. With approximately 52 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1974, Dr. Revell delivers high-quality medical care to the local community at 305 W 1ST ST.

Dr. Revell is affiliated with Peterson Dermatology, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm, removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm, removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

305 W 1st St

Vidalia, GA 304743302

Telephone 9125389080
Fax 9125389085
Associated Practice Facility / Clinic
🏢 Peterson Dermatology, P.c. Facility NPI 1932300886

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1974

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Vidalia, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
52 Yrs +25.6 yrs vs City Avg
City Avg: 26.4 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Vidalia, GA (1046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Revell (52 Years) 52 Yrs
Vidalia Specialty Average (26.4 Years) 26.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
31 22 $629.81 $266.80
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
15 13 $582.55 $144.47

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License SC 11191

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
111916 (SC)

Hospital & Practice Group Affiliations

Peterson Dermatology, P.c.

305 W 1st St, Vidalia, GA 304743302

Phone: 9125389080

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1760507974

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 01, 2018

Registered at 305 W 1ST ST, VIDALIA, GA 304743302 (Tel: 9125389080)

📍
Updated Business Mailing Address May 01, 2018

Registered at 305 W 1ST ST, VIDALIA, GA 304743302 (Tel: 9125389080)

NPI Profile Active March 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2015

Registered at 1721 EBENEZER ROAD, SUITE 175, ROCK HILL, SC 29732 (Tel: 8033245256)

📍
Updated Business Mailing Address March 18, 2015

Registered at PO BOX 60447, CHARLOTTE, NC 282600447 (Tel: 8033245256)

👤
Provider Name / Credentials Updated March 18, 2015

Recorded as WALTER REVELL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2015

Surgery (License #11191 in SC)

🟢
Initial NPI Registration & Enumeration August 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Walter Revell. Be the first to share your experience!

Sign in to leave a review for Dr. Walter Revell

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1275641995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2006
Last Update: May 01, 2018
Sole Proprietor: No

Mailing Address

305 W 1st St

Vidalia, GA 304743302

Phone: 9125389080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.