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

Sam Waltos, DO

Individual provider Family Medicine Physician · NPI 1154702868

Sam Waltos, DO is a Family Practice in Winchester, Virginia. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2015, 11 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
11
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MD, VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

104 Selma Dr
Winchester, VA 22601-3834
Phone: (540) 678-2800
Fax: (540) 667-0652
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102204964 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence H88467 (MD)

Record details

NPI number1154702868
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2015
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address104 Selma Dr, Winchester, VA 22601-3834

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2015 (11 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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