Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Walter J Revell Jr., MD

Individual provider Surgery Physician · NPI 1275641995

Walter J Revell Jr., MD practises General Surgery in Vidalia, Georgia. Graduated from Medical College of Georgia School of Medicine in 1974, 52 years ago. Practices with Peterson Dermatology, PC, a 4-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
52
Trained at
Medical College of Georgia School of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

305 W 1st St
Vidalia, GA 30474-3302
Phone: (912) 538-9080
Fax: (912) 538-9085
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 11191 (SC)

Record details

NPI number1275641995
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESMay 1, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1974 (52 years in practice)
Group practice Peterson Dermatology, P.C. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Melanoma (skin cancer) excision 23 times · 76th percentile
Skin biopsy 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients28
Services billed 78 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Peterson Dermatology, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 4 clinicians in the practice; 2 are shown here.

Other providers in Vidalia