Doctor profile · Federal record

Dr. Kongkeo Walther, ANP

Acute Care Nurse Practitioner (CMS: Nurse Practitioner) · Bridgeton, MO

  • NPI 1528433430
  • Accepts Medicare
  • MIPS 79.3 / 100 · 2023
  • 11 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
12774 Boenker Ln
Bridgeton, MO 630442436
(314) 291-7997
fax (314) 739-1471
Additional location
4921 Parkview Pl, Div Surg Urology, Ste 11C
Saint Louis, MO 631101032
(314) 362-8200
fax (314) 454-5244
Mailing address
Po Box 776874
Chicago, IL 606776874

Credentials & registration

NPPES · NUCC
NPI registered
December 2015 — 11 yrs on file
Profile last updated
December 21, 2023
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
363LA2100X — NUCC code
State license (1)
Missouri #2015040094
Medicaid
MO #420030952

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1528433430. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
784
Distinct HCPCS
1
Medicare allowed
$52,202
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 784 288 $67

In context: peer comparison

Among 2 peers in this city , average services per provider: 407. This provider delivers 1.9× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
289
Patients
122
Total drug cost
$23,843
Drug Type Claims Patients Total cost
Tamsulosin Hcl Generic 127 66 $2,492
Finasteride Generic 95 43 $1,494
Myrbetriq (Mirabegron) Brand 27 13 $18,764
Alfuzosin Hcl Er (Alfuzosin Hcl) Brand 18 0 $454
Oxybutynin Chloride Er (Oxybutynin Chloride) Brand 11 0 $473
Terazosin Hcl Generic 11 0 $166

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Kongkeo Walther's medical specialty?
Dr. Kongkeo Walther practices Acute Care Nurse Practitioner in Bridgeton, MO.
Where does Dr. Kongkeo Walther practice?
Dr. Kongkeo Walther practices at 12774 Boenker Ln, Bridgeton, MO 630442436. Office phone: 3142917997.
What is Dr. Kongkeo Walther's NPI?
Dr. Kongkeo Walther's National Provider Identifier (NPI) is 1528433430, issued by NPPES.
Does Dr. Kongkeo Walther accept Medicare assignment?
Yes. Dr. Kongkeo Walther accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kongkeo Walther commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.