Blake Walters, D.C.
NPI 1417479270ActiveIndividual· Chiropractor· Baraboo, WI
Chiropractor (D.C.) in Baraboo, Wisconsin, trained at Logan College of Chiropractic (class of 2017). Medicare paid $4,744 for services to 15 patients in 2024.
Overview
| NPI | 1417479270 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | No |
| NPI issued | Jul 13, 2017 |
| Last updated in NPPES | Jul 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5284-12 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 176 across 1 procedure code |
| Paid by Medicare | $4,744 |
Education and affiliations
| Medical school | Logan College of Chiropractic |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Chiropractic |
Medical group
- Sheboygan Chiropractic LLCSheboygan, WI · 2 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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