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Active NPI 1013974062 Individual Practitioner Male Practitioner

Dr. Benjamin R Waller , MD

Internal Medicine - Interventional Cardiology • Memphis, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Waller, MD is a certified Internal Medicine - Interventional Cardiology practicing in Memphis, TN. With approximately 39 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1987, Dr. Waller delivers high-quality medical care to the local community at 51 N DUNLAP ST FL 2.

Dr. Waller is affiliated with Ut Lebonheur Pediatric Specialists, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine ekg using at least 12 leads including interpretation and report, established patient outpatient office visit, doppler ultrasound study of color-directed heart blood flow, rate, and valve function. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

51 N Dunlap St Fl 2

Memphis, TN 38105

Telephone 9012877337
Fax 9012874646
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Interventional Cardiology in Memphis, TN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs +11.6 yrs vs City Avg
City Avg: 27.4 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
22 Specialists

Practicing in Memphis, TN (215 Statewide)

Telehealth Adoption Rate
13.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waller (39 Years) 39 Yrs
Memphis Specialty Average (27.4 Years) 27.4 Yrs

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
93000 Routine ekg using at least 12 leads including interpretation and report
11 11 $60.00 $12.00

Medical Specialties & State Licenses

Internal Medicine - Interventional Cardiology Primary Specialty

NUCC Taxonomy Code: 207RI0011X

State License TN 19846

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Pediatrics - Pediatric Cardiology

NUCC Taxonomy Code: 2080P0202X

State License TN 19846

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3086106 (TN)

Hospital & Practice Group Affiliations

Ut Lebonheur Pediatric Specialists, Inc.

610 Brunson Dr, Tupelo, MS 388014947

Phone: 9012877337

Ut Lebonheur Pediatric Specialists, Inc.

942 Commonwealth Blvd, Tupelo, MS 388049762

Phone: 6626200101

Ut Lebonheur Pediatric Specialists, Inc.

100 N Humphreys Blvd, Memphis, TN 381202146

Phone: 9012877337

Practice Associates & Co-Workers

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

40 Associated Practitioners
Leslie Rhodes , PNP-BC

Nurse Practitioner - Pediatrics

NPI 1003052010

Pediatric Nurse Practitioner (Board Certified)

Dr. Glenn Wetzel , MD

Pediatrics - Pediatric Cardiology

NPI 1023074010

Doctor of Medicine (M.D.)

Dr. Mark Bugnitz , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1023075249

Doctor of Medicine (M.D.)

Dr. Maya Emptage , DNP PNP-PC

Nurse Practitioner - Pediatrics

NPI 1043176522

DNPPNPPC

NPI 1043653454

Doctor of Medicine (M.D.)

Dr. Linda Myers , MD

Pediatrics - Pediatric Rheumatology

NPI 1053377127

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location July 05, 2018

Registered at 51 N DUNLAP ST FL 2, MEMPHIS, TN 38105 (Tel: 9012877337)

📍
Updated Business Mailing Address July 05, 2018

Registered at 848 ADAMS AVE, MEMPHIS, TN 381032816 (Tel: 9012875594)

NPI Profile Active December 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2017

Registered at 51 N DUNLAP ST FL 2, MEMPHIS, TN 381054625 (Tel: 9012877337)

📍
Updated Business Mailing Address December 01, 2017

Registered at 850 POPLAR AVE BLDG 2, MEMPHIS, TN 381054607 (Tel: 9012875594)

👤
Provider Name / Credentials Updated December 01, 2017

Recorded as BENJAMIN WALLER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2017

Pediatrics (License #19846 in TN)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1910 NONCONNAH BLVD, SUITE 120, MEMPHIS, TN 381322113 (Tel: 9014482300)

📍
Updated Business Mailing Address July 08, 2007

Registered at 66 N PAULINE ST, SUITE 206, MEMPHIS, TN 381055105 (Tel: 9014487642)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BENJAMIN WALLER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #19846 in TN)

🟢
Initial NPI Registration & Enumeration April 26, 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: 1013974062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: July 13, 2018
Sole Proprietor: No

Mailing Address

848 Adams Ave

Memphis, TN 381032816

Phone: 9012875594

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.