Deactivated NPI 1497849459 Deactivated / Inactive NPI Male Practitioner

Dr. Walter Glenn Jagger , DPM

Podiatrist • Bronx, NY

⚠️

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. Walter Jagger has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 03, 2006

NPI Deactivation Date September 30, 2022

Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Walter Jagger, DPM was a registered Podiatrist practicing in Bronx, NY. Throughout an active medical career spanning 16 years, Dr. Jagger provided care at the practice location at 3040 EAST TREMONT AVE until profile deactivation on 2022-09-30.

Historical Medicare Part B clinical services included removal of fingernails or toenails, removal of noncancer thickened skin growth, 2-4 growths, residence visit for established patient with low level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3040 East Tremont Ave
Suite 101

Bronx, NY 10461

Telephone 7189319058

Fax 7189180004

Associated Practice Facility / Clinic

🏢 Keystone Podiatry Facility NPI 1649418567

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Bronx, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.6 Yrs

State Avg: 32.6 Yrs

Regional Practice Density

81 Specialists

Practicing in Bronx, NY (1366 Statewide)

Telehealth Adoption Rate

7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

7.8% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	525	358	$55.84	$52.59
11056 Removal of noncancer thickened skin growth, 2-4 growths	308	193	$104.86	$101.37
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	284	149	$102.73	$95.84
11720 Removal of fingernails or toenails, 1-5 nails	232	157	$42.89	$39.58
17250 Application of chemical to stop tissue regrowth in wound	191	114	$95.50	$91.62
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	185	129	$73.88	$62.76
11057 Removal of noncancer thickened skin growth, more than 4 growths	174	118	$114.66	$110.24
99343 New patient home visit, typically 45 minutes	116	116	$161.16	$141.47
99335 Established patient assisted living visit, typically 25 minutes	107	73	$112.24	$108.15
11042 Removal of skin and tissue, 20.0 sq cm or less	86	30	$167.44	$159.85
10061 Complicated or multiple drainage of skin abscess	70	65	$309.86	$263.70
10060 Simple or single drainage of skin abscess	68	65	$158.47	$150.73
11055 Removal of single thickened skin growth	51	40	$95.00	$89.95
97597 Removal of tissue from wound, 20.0 sq cm or less	49	23	$130.00	$124.91
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	44	20	$307.02	$289.73
11730 Simple separation of fingernail or toenail from nail bed, first nail	39	35	$176.15	$140.98
11750 Permanent removal fingernail or toenail	22	19	$196.88	$193.21
99325 New patient assisted living visit, typically 30 minutes	20	20	$90.10	$88.98
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	16	15	$80.00	$69.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,074	446	$57.81	$53.53
11056 Removal of noncancer thickened skin growth, 2-4 growths	611	258	$99.27	$97.04
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	481	185	$99.19	$97.05
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	463	180	$64.38	$63.24
17250 Application of chemical to stop tissue regrowth in wound	430	228	$99.19	$92.76
11720 Removal of fingernails or toenails, 1-5 nails	354	169	$43.47	$40.31
11057 Removal of noncancer thickened skin growth, more than 4 growths	276	126	$113.69	$105.75
99335 Established patient assisted living visit, typically 25 minutes	188	111	$109.97	$109.08
99343 New patient home visit, typically 45 minutes	173	173	$150.22	$145.73
11055 Removal of single thickened skin growth	158	94	$88.73	$85.97
29580 Strapping, unna boot	144	19	$86.32	$60.04
11042 Removal of skin and tissue, 20.0 sq cm or less	131	40	$208.46	$160.99
10060 Simple or single drainage of skin abscess	124	109	$155.98	$150.14
97597 Removal of tissue from wound, 20.0 sq cm or less	111	30	$127.73	$121.59
10061 Complicated or multiple drainage of skin abscess	90	83	$273.32	$261.18
11730 Simple separation of fingernail or toenail from nail bed, first nail	70	63	$177.26	$142.11
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	51	22	$323.14	$294.83
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	47	38	$70.00	$68.16
11750 Permanent removal fingernail or toenail	45	38	$225.52	$198.48
99325 New patient assisted living visit, typically 30 minutes	40	40	$132.51	$90.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	887	384	$67.59	$52.00
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	525	197	$103.22	$93.44
11056 Removal of noncancer thickened skin growth, 2-4 growths	506	223	$94.10	$83.90
11720 Removal of fingernails or toenails, 1-5 nails	478	222	$47.03	$37.80
99335 Established patient assisted living visit, typically 25 minutes	438	155	$111.06	$103.95
17250 Application of chemical to stop tissue regrowth in wound	425	209	$110.31	$79.77
11057 Removal of noncancer thickened skin growth, more than 4 growths	413	172	$111.11	$93.50
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	342	179	$70.17	$60.60
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	250	109	$73.38	$66.02
11055 Removal of single thickened skin growth	206	115	$83.50	$71.87
11042 Removal of skin and tissue, 20.0 sq cm or less	127	38	$161.35	$145.39
97597 Removal of tissue from wound, 20.0 sq cm or less	100	37	$114.53	$107.79
10061 Complicated or multiple drainage of skin abscess	90	83	$282.50	$244.95
99343 New patient home visit, typically 45 minutes	81	81	$153.32	$142.63
10060 Simple or single drainage of skin abscess	78	75	$178.99	$139.52
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	61	22	$300.23	$276.82
11730 Simple separation of fingernail or toenail from nail bed, first nail	44	41	$145.07	$127.37
99325 New patient assisted living visit, typically 30 minutes	33	33	$135.15	$86.48
11750 Permanent removal fingernail or toenail	21	21	$214.57	$181.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,288	467	$63.22	$51.02
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	690	232	$73.30	$61.05
11056 Removal of noncancer thickened skin growth, 2-4 growths	577	238	$80.86	$75.35
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	513	205	$111.28	$92.25
11057 Removal of noncancer thickened skin growth, more than 4 growths	488	181	$90.22	$83.80
99335 Established patient assisted living visit, typically 25 minutes	440	152	$114.17	$101.59
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	424	145	$76.27	$65.28
17250 Application of chemical to stop tissue regrowth in wound	392	203	$87.50	$74.54
11720 Removal of fingernails or toenails, 1-5 nails	262	165	$48.99	$37.35
11055 Removal of single thickened skin growth	210	110	$69.80	$63.47
11042 Removal of skin and tissue, 20.0 sq cm or less	198	53	$157.47	$138.54
97597 Removal of tissue from wound, 20.0 sq cm or less	155	37	$110.02	$101.11
99343 New patient home visit, typically 45 minutes	86	86	$159.23	$143.28
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	80	31	$283.00	$264.40
10061 Complicated or multiple drainage of skin abscess	74	67	$283.14	$233.67
10060 Simple or single drainage of skin abscess	51	50	$149.65	$134.50
99325 New patient assisted living visit, typically 30 minutes	45	45	$97.58	$85.42
11750 Permanent removal fingernail or toenail	20	20	$246.00	$175.68
11730 Simple separation of fingernail or toenail from nail bed, first nail	16	15	$142.94	$122.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,368	472	$52.45	$49.65
11056 Removal of noncancer thickened skin growth, 2-4 growths	639	260	$68.11	$64.56
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	600	227	$67.38	$59.29
11057 Removal of noncancer thickened skin growth, more than 4 growths	480	190	$78.51	$72.93
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	440	193	$96.88	$90.41
17250 Application of chemical to stop tissue regrowth in wound	393	186	$84.92	$69.75
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	340	142	$70.11	$63.47
99335 Established patient assisted living visit, typically 25 minutes	265	123	$104.46	$99.89
11042 Removal of skin and tissue, 20.0 sq cm or less	260	52	$145.54	$130.95
11055 Removal of single thickened skin growth	136	79	$57.13	$52.45
11720 Removal of fingernails or toenails, 1-5 nails	132	90	$43.48	$36.25
97597 Removal of tissue from wound, 20.0 sq cm or less	130	30	$90.45	$85.92
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	94	28	$273.94	$256.50
99343 New patient home visit, typically 45 minutes	90	90	$145.62	$139.88
10061 Complicated or multiple drainage of skin abscess	86	76	$240.26	$227.99
10060 Simple or single drainage of skin abscess	63	59	$135.00	$130.71
99325 New patient assisted living visit, typically 30 minutes	56	56	$89.30	$84.44
29580 Strapping, unna boot	51	13	$54.29	$46.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	1,438	465	$55.58	$48.42
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	1,104	268	$66.01	$58.75
11056 Removal of noncancer thickened skin growth, 2-4 growths	718	267	$69.26	$63.33
11057 Removal of noncancer thickened skin growth, more than 4 growths	451	167	$76.66	$70.65
17250 Application of chemical to stop tissue regrowth in wound	370	159	$92.09	$68.04
29580 Strapping, unna boot	290	41	$47.22	$36.26
11042 Removal of skin and tissue, 20.0 sq cm or less	247	50	$136.00	$128.34
97597 Removal of tissue from wound, 20.0 sq cm or less	195	40	$86.52	$80.51
99335 Established patient assisted living visit, typically 25 minutes	188	83	$105.63	$98.70
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	150	73	$72.13	$63.02
11055 Removal of single thickened skin growth	104	46	$53.74	$51.26
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	102	30	$271.75	$250.28
99325 New patient assisted living visit, typically 30 minutes	100	100	$109.03	$83.62
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	92	78	$93.00	$89.62
10061 Complicated or multiple drainage of skin abscess	80	72	$241.72	$227.34
10060 Simple or single drainage of skin abscess	72	66	$139.79	$128.81
99343 New patient home visit, typically 45 minutes	67	67	$145.92	$138.15
11750 Permanent removal fingernail or toenail	47	42	$213.62	$166.43
11730 Simple separation of fingernail or toenail from nail bed, first nail	34	33	$124.62	$114.45
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	31	31	$88.48	$84.08

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License NY 0038431

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.

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated September 30, 2022

Record deactivated on September 30, 2022

✅

NPI Profile Active June 16, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 16, 2008

Registered at 3040 EAST TREMONT AVE, SUITE 101, BRONX, NY 10461 (Tel: 7189319058)

📍

Updated Business Mailing Address June 16, 2008

Registered at 3040 EAST TREMONT AVE, SUITE 101, BRONX, NY 10461 (Tel: 7189319058)

👤

Provider Name / Credentials Updated June 16, 2008

Recorded as WALTER JAGGER, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2008

Podiatrist (License #0038431 in NY)

🟢

Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497849459

Entity Type:

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

Enumeration Date: October 03, 2006

Last Update: June 16, 2008

Deactivation Date: September 30, 2022

Update or Correct Profile

Mailing Address

3040 East Tremont Ave, Suite 101

Bronx, NY 10461

Phone: 7189319058

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.