Active NPI 1588625958 Individual Practitioner Male Practitioner

Dr. Walter Nicholas Ellis , DPM

Podiatrist • St Cloud, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Walter Ellis, DPM is a certified Podiatrist practicing in St Cloud, MN. With approximately 37 years of clinical experience since graduating from William M. Scholl College Of Podiatric Medicine in 1989, Dr. Ellis delivers high-quality medical care to the local community at 106 DOCTORS PARK.

Dr. Ellis is affiliated with St Cloud Foot And Ankle Center Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of foot, minimum of 3 views, established patient outpatient office visit, removal of fingernails or toenails. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

106 Doctors Park

St Cloud, MN 563031207

Telephone 3202515444

Fax 3206569590

Associated Practice Facility / Clinic

🏢 St Cloud Foot & Ankle Center Pa Facility NPI 1083675458

Medicare Profile & Education

Medical School

William M. Scholl College Of Podiatric Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in St Cloud, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

1 Specialists

Practicing in St Cloud, MN (152 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (37 Years) 37 Yrs

St Cloud Specialty Average (37.0 Years) 37.0 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
73630 X-ray of foot, minimum of 3 views	197	85	$100.00	$33.13
99213 Established patient office or other outpatient visit, typically 15 minutes	173	110	$210.00	$87.91
11721 Removal of fingernails or toenails, 6 or more nails	58	42	$127.00	$42.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$341.05	$160.65
11056 Removal of noncancer thickened skin growth, 2-4 growths	26	21	$152.09	$81.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$280.00	$104.32
11750 Permanent removal fingernail or toenail	21	11	$338.85	$127.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$234.90	$118.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$140.00	$55.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	235	108	$100.00	$33.98
99213 Established patient office or other outpatient visit, typically 15 minutes	209	143	$210.00	$86.44
11721 Removal of fingernails or toenails, 6 or more nails	75	57	$127.00	$42.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$280.00	$105.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	41	$140.00	$54.23
11056 Removal of noncancer thickened skin growth, 2-4 growths	50	37	$152.09	$80.72
11750 Permanent removal fingernail or toenail	33	17	$338.85	$124.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$341.05	$161.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$234.90	$118.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	260	114	$100.00	$35.07
99213 Established patient office or other outpatient visit, typically 15 minutes	233	153	$210.00	$88.60
11721 Removal of fingernails or toenails, 6 or more nails	169	101	$111.51	$43.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	161	118	$140.00	$55.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$280.00	$109.53
11056 Removal of noncancer thickened skin growth, 2-4 growths	108	64	$152.09	$83.47
11750 Permanent removal fingernail or toenail	66	39	$338.85	$134.86
73620 X-ray of foot, 2 views	49	25	$50.00	$28.59
11042 Removal of skin and tissue, 20.0 sq cm or less	19	15	$273.05	$131.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$341.05	$164.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	255	166	$128.03	$55.38
11721 Removal of fingernails or toenails, 6 or more nails	250	139	$107.14	$44.69
99213 Established patient office or other outpatient visit, typically 15 minutes	237	182	$202.27	$88.59
73620 X-ray of foot, 2 views	198	100	$50.00	$28.31
73630 X-ray of foot, minimum of 3 views	157	81	$100.00	$34.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$256.49	$108.01
11056 Removal of noncancer thickened skin growth, 2-4 growths	56	49	$152.09	$80.46
11750 Permanent removal fingernail or toenail	54	33	$338.85	$137.10
11042 Removal of skin and tissue, 20.0 sq cm or less	49	23	$273.05	$131.57
73610 X-ray of ankle, minimum of 3 views	22	18	$100.00	$37.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$341.05	$165.66
10060 Simple or single drainage of skin abscess	15	15	$264.50	$120.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	258	168	$110.64	$44.70
11721 Removal of fingernails or toenails, 6 or more nails	205	122	$97.00	$45.36
73620 X-ray of foot, 2 views	140	70	$51.07	$28.64
99213 Established patient office or other outpatient visit, typically 15 minutes	127	101	$171.00	$72.59
73630 X-ray of foot, minimum of 3 views	113	64	$100.00	$32.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$222.08	$105.42
11750 Permanent removal fingernail or toenail	50	33	$465.76	$139.35
11042 Removal of skin and tissue, 20.0 sq cm or less	47	20	$262.82	$126.66
11730 Simple separation of fingernail or toenail from nail bed, first nail	13	13	$236.64	$99.03
73610 X-ray of ankle, minimum of 3 views	11	11	$109.09	$38.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	443	238	$110.64	$44.31
11721 Removal of fingernails or toenails, 6 or more nails	209	113	$93.65	$45.25
73620 X-ray of foot, 2 views	162	81	$50.00	$26.81
73630 X-ray of foot, minimum of 3 views	126	62	$100.00	$30.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$222.08	$105.71
11750 Permanent removal fingernail or toenail	87	57	$465.76	$133.98
99213 Established patient office or other outpatient visit, typically 15 minutes	79	65	$171.00	$71.43
11042 Removal of skin and tissue, 20.0 sq cm or less	54	17	$255.65	$117.30
11056 Removal of noncancer thickened skin growth, 2-4 growths	28	25	$122.96	$66.45
28285 Correction of toe joint deformity	26	15	$1137.94	$254.11
28270 Incision of joint capsule of foot and toe	23	14	$1049.27	$166.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	188	128	$110.64	$42.11
73620 X-ray of foot, 2 views	166	84	$50.00	$25.24
11721 Removal of fingernails or toenails, 6 or more nails	165	107	$77.17	$43.82
99213 Established patient office or other outpatient visit, typically 15 minutes	116	86	$171.00	$69.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$222.08	$101.47
11056 Removal of noncancer thickened skin growth, 2-4 growths	78	46	$122.96	$55.33
11042 Removal of skin and tissue, 20.0 sq cm or less	63	27	$255.65	$106.34
73630 X-ray of foot, minimum of 3 views	62	36	$100.00	$27.89
11750 Permanent removal fingernail or toenail	40	24	$465.76	$126.45
10060 Simple or single drainage of skin abscess	16	16	$245.65	$114.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	326	218	$103.53	$40.01
11721 Removal of fingernails or toenails, 6 or more nails	277	156	$75.00	$41.64
73630 X-ray of foot, minimum of 3 views	186	93	$100.00	$26.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$219.36	$96.84
99213 Established patient office or other outpatient visit, typically 15 minutes	75	62	$163.08	$67.29
11750 Permanent removal fingernail or toenail	72	46	$449.37	$121.44
11042 Removal of skin and tissue, 20.0 sq cm or less	63	30	$240.18	$104.23
28285 Correction of toe joint deformity	21	12	$1121.22	$217.21
11730 Simple separation of fingernail or toenail from nail bed, first nail	13	13	$195.96	$94.02
28308 Incision to straighten toe bone (other than the big toe) at the midfoot bone (metatarsal) level	11	11	$1127.83	$174.50

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License MN 451

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

684025600 (MN)

Hospital & Practice Group Affiliations

St Cloud Foot And Ankle Center Pa

106 Doctors Park, Saint Cloud, MN 563031207

Phone: 3202515444

Practice Associates & Co-Workers

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

2 Associated Practitioners

David Patenaude

Podiatrist - Foot & Ankle Surgery

NPI 1558348557

Dr. Ashton Nelsen , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1629488382

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 08, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2015

Registered at 106 DOCTORS PARK, ST CLOUD, MN 563031207 (Tel: 3202515444)

📍

Updated Business Mailing Address January 08, 2015

Registered at 106 DOCTORS PARK, ST CLOUD, MN 563031207 (Tel: 3202515444)

👤

Provider Name / Credentials Updated January 08, 2015

Recorded as WALTER ELLIS, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2015

Podiatrist (License #451 in MN)

🟢

Initial NPI Registration & Enumeration March 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1588625958

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 28, 2006

Last Update: January 08, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

106 Doctors Park

St Cloud, MN 563031207

Phone: 3202515444

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.