Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174684328 Deactivated / Inactive NPI Male Practitioner

Dr. Lonnie Richard Walters , DC

Chiropractor • Mount Vernon, MO

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lonnie Walters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 12, 2006
NPI Deactivation Date March 27, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Lonnie Walters, DC was a registered Chiropractor practicing in Mount Vernon, MO. Throughout an active medical career spanning 12 years, Dr. Walters provided care at the practice location at 316 W MOUNT VERNON BLVD until profile deactivation on 2018-03-27.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

316 W Mount Vernon Blvd

Mount Vernon, MO 657121940

Telephone 4174611155
Fax 4174611155
Associated Practice Facility / Clinic
🏢 Lonnie R. Walters, Dc, Pc Facility NPI 1326235953

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Mount Vernon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Mount Vernon, MO (2674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
13.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
449 53 $42.00 $36.22

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MO 003456

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1285794990

Doctor of Chiropractic

NPI 1902645559

Doctor of Chiropractic

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated March 27, 2018

Record deactivated on March 27, 2018

NPI Profile Active August 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2013

Registered at 316 W MOUNT VERNON BLVD, MOUNT VERNON, MO 657121940 (Tel: 4174611155)

📍
Updated Business Mailing Address August 13, 2013

Registered at 316 W MOUNT VERNON BLVD, MOUNT VERNON, MO 657121940 (Tel: 4174611155)

👤
Provider Name / Credentials Updated August 13, 2013

Recorded as LONNIE WALTERS, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2013

Chiropractor (License #003456 in MO)

🟢
Initial NPI Registration & Enumeration December 12, 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. Lonnie Walters. Be the first to share your experience!

Sign in to leave a review for Dr. Lonnie Walters

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

NPI Administrative Meta

NPI Number: 1174684328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: August 13, 2013
Deactivation Date: March 27, 2018

Mailing Address

316 W Mount Vernon Blvd

Mount Vernon, MO 657121940

Phone: 4174611155

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.