Walter Fagan, M.D.
NPI 1659703635 · Vascular Surgery Physician · Jim Thorpe, PA
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Walter Fagan, M.D. is a Vascular Surgery Physician provider in Jim Thorpe, PA (NPI 1659703635).
Provider details
- NPI number
- 1659703635
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD035284E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-08-01
- Last updated
- 2013-08-01
Frequently asked questions
- What is Walter Fagan's NPI number?
- Walter Fagan's National Provider Identifier (NPI) is 1659703635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Walter Fagan's specialty?
- Walter Fagan is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Walter Fagan located?
- Walter Fagan's practice location on file with NPPES is 211 Center Ave, Jim Thorpe, PA 18229-1205.
- What is Walter Fagan's phone number?
- The practice phone number listed in the NPPES registry for Walter Fagan is (817) 845-1968.
- Does Walter Fagan accept Medicare?
- Walter Fagan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Walter Fagan's NPI active?
- Yes — Walter Fagan's NPI (1659703635) is active in the NPPES registry as of the last update on 2013-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.