Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609871987 Individual Practitioner Male Practitioner

Larry L Walther , PA

Physician Assistant • Miami, OK

Professional Overview & Biography Verified Profile Summary

Larry Walther, PA is a registered healthcare professional specializing in Physician Assistant in Miami, OK. Practice services are available at 21 W CENTRAL AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21 W Central Ave

Miami, OK 743546815

Telephone 9185423900
Fax 9185423928
Associated Practice Facility / Clinic
🏢 Integris Miami Hospital Facility NPI 1992305627

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Miami, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Miami, OK (1911 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.8% 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
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $159.00 $73.50

Medical Specialties & State Licenses

CMS Verified: 2020-02-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 681

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100186200A (OK)
Medicaid State Provider ID
200468380F (OK)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Mindy Mcbrien , FNP-C, APRN

Nurse Practitioner - Family

NPI 1437530664

Family Nurse Practitioner (Certified), Advanced Practice Registered Nurse

Dr. James Osborn , MD

Family Medicine

NPI 1669446225

Doctor of Medicine (M.D.)

Audrey Bosworth , APRN

Nurse Practitioner

NPI 1700323466

Advanced Practice Registered Nurse

NPI 1811189194

Doctor of Medicine (M.D.)

Brooke Bullard , APRN

Family Medicine

NPI 1871244780

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location February 24, 2020

Registered at 21 W CENTRAL AVE, MIAMI, OK 743546815 (Tel: 9185423900)

NPI Profile Active April 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2017

Registered at 310 2ND AVE SW, SUITE 205, MIAMI, OK 743546743 (Tel: 9185407758)

📍
Updated Business Mailing Address April 05, 2017

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 9185407758)

👤
Provider Name / Credentials Updated April 05, 2017

Recorded as LARRY WALTHER, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2017

Physician Assistant (License #2001025778 in MO)

NPI Profile Active February 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2016

Registered at 310 2ND AVE SW, SUITE 205, MIAMI, OK 743546743 (Tel: 9185407758)

📍
Updated Business Mailing Address February 03, 2016

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 9185407758)

👤
Provider Name / Credentials Updated February 03, 2016

Recorded as LARRY WALTHER, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2016

Physician Assistant (License #681 in OK)

🟢
Initial NPI Registration & Enumeration June 14, 2005

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: 1609871987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2005
Last Update: February 24, 2020
Sole Proprietor: No

Mailing Address

5300 N Independence Ave, 280

Oklahoma City, OK 731125556

Phone: 9185407758

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.