Active NPI 1356398457 Individual Practitioner Female Practitioner

Dr. Ellen Stockton Walraven , MD

Internal Medicine • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ellen Walraven, MD is a certified Internal Medicine practicing in Tyler, TX. With approximately 43 years of clinical experience since graduating from Baylor College Of Medicine in 1983, Dr. Walraven delivers high-quality medical care to the local community at 520 DOUGLAS BLVD.

Dr. Walraven is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 Douglas Blvd

Tyler, TX 757028307

Telephone 9035931721

Associated Practice Facility / Clinic

🏢 Christus Trinity Clinic Facility NPI 1285684225

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +21.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (9538 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walraven (43 Years) 43 Yrs

Tyler Specialty Average (21.1 Years) 21.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	164	$289.00	$94.33
99213 Established patient office or other outpatient visit, typically 15 minutes	218	163	$204.00	$64.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	194	194	$295.00	$128.45
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	143	106	$23.33	$16.23
99495 Transitional care management services for problem of at least moderate complexity	17	15	$463.00	$137.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$119.00	$52.35
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$377.00	$163.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	293	206	$204.00	$64.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	140	$289.00	$95.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	190	190	$295.00	$126.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$127.00	$34.66
99495 Transitional care management services for problem of at least moderate complexity	23	18	$463.00	$136.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$119.00	$50.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$377.00	$128.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$377.00	$161.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	280	197	$183.42	$64.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	206	206	$273.50	$127.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	149	$259.50	$95.54
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$164.56	$47.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$111.92	$34.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$240.80	$80.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$116.86	$51.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$331.00	$142.07
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$365.75	$130.47
99496 Transitional care management services for problem of high complexity	12	12	$532.75	$189.80
99495 Transitional care management services for problem of at least moderate complexity	12	11	$409.00	$139.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	300	219	$161.00	$65.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	193	$236.00	$97.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$252.00	$130.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$316.00	$144.34
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	16	$89.00	$40.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	17	$116.00	$51.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$234.00	$81.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$98.00	$35.45
99496 Transitional care management services for problem of high complexity	12	11	$502.00	$193.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	174	$220.07	$78.71
99213 Established patient office or other outpatient visit, typically 15 minutes	207	154	$164.65	$51.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	139	139	$234.78	$114.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	44	$295.86	$111.33
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	20	$97.25	$40.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$213.60	$75.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	28	$135.60	$52.41
99496 Transitional care management services for problem of high complexity	20	18	$607.60	$162.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$324.53	$128.31
99442 Telephone medical discussion with physician, 11-20 minutes	16	14	$150.81	$51.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$89.92	$25.58
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$352.33	$169.39
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$356.55	$127.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	423	211	$168.00	$50.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	149	$206.00	$77.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	140	140	$207.34	$112.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	43	$269.00	$108.11
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	40	19	$111.00	$39.87
99496 Transitional care management services for problem of high complexity	23	21	$678.00	$157.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$198.00	$74.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	19	$144.00	$51.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$311.00	$126.81
99495 Transitional care management services for problem of at least moderate complexity	15	15	$480.00	$108.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$405.00	$165.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$83.00	$25.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	357	196	$168.00	$49.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	136	$206.00	$76.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$207.00	$112.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	51	$269.00	$108.33
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	39	23	$111.00	$40.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	33	$83.00	$24.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$311.00	$126.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$405.00	$164.68
99496 Transitional care management services for problem of high complexity	23	20	$678.00	$156.21
99495 Transitional care management services for problem of at least moderate complexity	19	15	$480.00	$107.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$198.00	$74.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$144.00	$51.73
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$133.00	$49.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	201	152	$168.00	$49.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	94	$206.00	$75.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	41	$508.78	$68.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$207.00	$110.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$311.00	$125.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$198.00	$74.25
99239 Hospital discharge day management, more than 30 minutes	26	26	$756.90	$102.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$1431.10	$193.31
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	20	12	$111.00	$39.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$83.00	$24.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	15	$734.35	$99.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$967.43	$130.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$405.00	$163.59

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX H7843

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

099129105 (TX)

Commercial Insurance / Payer ID Bcbs

8GQ837 (TX)

Commercial Insurance / Payer ID Tricare

75-2616977-007 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

520 Douglas Blvd, Tyler, TX 757028307

Phone: 9035931721

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Mark Vig , MD

Internal Medicine

NPI 1023251527

Doctor of Medicine (M.D.)

Dr. Antoinette Lenton , MD

Psychiatry & Neurology - Psychiatry

NPI 1063825024

Doctor of Medicine (M.D.)

Marcia Green , FNP

Nurse Practitioner

NPI 1134163868

Family Nurse Practitioner

Dr. William Miller , MD

Obstetrics & Gynecology - Gynecology

NPI 1164496907

Doctor of Medicine (M.D.)

Dr. Lee Ridenour , MD

Internal Medicine

NPI 1205801966

Doctor of Medicine (M.D.)

Robert Clarke , PA

Physician Assistant

NPI 1225162753

Physician Assistant

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active May 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 08, 2017

Registered at 520 DOUGLAS BLVD, TYLER, TX 757028307 (Tel: 9035931721)

📍

Updated Business Mailing Address May 08, 2017

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

👤

Provider Name / Credentials Updated May 08, 2017

Recorded as ELLEN WALRAVEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2017

Internal Medicine (License #H7843 in TX)

✅

NPI Profile Active March 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2016

Registered at 8220 WALNUT HILL LN STE 600, DALLAS, TX 752314433 (Tel: 2143451720)

📍

Updated Business Mailing Address March 14, 2016

Registered at 8220 WALNUT HILL LN STE 600, DALLAS, TX 752314433 (Tel: 2143451720)

👤

Provider Name / Credentials Updated March 14, 2016

Recorded as ELLEN WALRAVEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2016

Internal Medicine (License #H7843 in TX)

🟢

Initial NPI Registration & Enumeration May 27, 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: 1356398457

Entity Type:

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

Enumeration Date: May 27, 2006

Last Update: May 08, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246400

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.