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ERICH W WALDER MD
NPI 1023032927
Internal Medicine - Pulmonary Disease in Cincinnati, OH

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
4760 E GALBRAITH RD, SUITE 206, CINCINNATI, OH 45236(513) 791-4490(513) 791-7287 Get Directions Write a Review

NPPES record last updated: May 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erich W Walder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICH W WALDER MD (NPI 1023032927) is an individual pulmonary disease provider in Cincinnati, Ohio, licensed in Ohio (35077946) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with The Jewish Hospital-mercy Health, and is a graduate of University Of Cincinnati College Of Medicine (1998).

NPPES Registry Identity

NPI1023032927
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameERICH W WALDERCredential: MD
Location Address4760 E GALBRAITH RD, SUITE 206Cincinnati, OH 45236-6703
Mailing AddressPo Box 714570Columbus, OH 43271-4570 · (513) 791-4490 · Fax (513) 791-7287
Phone(513) 791-4490
Fax(513) 791-7287
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1998
Enumeration DateJuly 26, 2006
Last NPPES UpdateMay 28, 2010
✔ NPI 1023032927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OH · 35077946
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35077946 (OH)
4760 E GALBRAITH RD, Cincinnati, OH 45236
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Other Identifiers 3

Medicare UPINH74098
Medicaid2360494OH
OtherWA4127432OH · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erich W Walder Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294634721
PECOS Enrollment IDI20040507000308
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
143 services69 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
87 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
83 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services58 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims72 services$1.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers56 claims56 services$15.16 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$38.14 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers13 claims13 services$903.11 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
2 suppliers13 claims15 services$68.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
9 suppliers104 claims104 services$69.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OKI KIDNEY CARE, LLC
Internal Medicine
4760 E GALBRAITH RD, STE 217
CINCINNATI, OH 45236
Hamilton County (513) 842-2000
PATRICK G. KIRK, MD, INC
Orthopaedic Surgery
4760 E GALBRAITH RD, SUITE 109
CINCINNATI, OH 45236
Hamilton County (513) 791-5200
MEDICAL ASSOCIATES OF CINCINNATI INC
Specialist
4760 E GALBRAITH RD, #203
CINCINNATI, OH 45236
Hamilton County (513) 985-9800
FRANCES ELIZABETH WOOD C.N.P.
Nurse Practitioner (Adult Health)
4760 E GALBRAITH RD, STE 205
CINCINNATI, OH 45236
Hamilton County (513) 985-0741
DR. DAVID J DORTIN JR. D.O.
Internal Medicine (Pulmonary Disease)
4760 E GALBRAITH RD, #203
CINCINNATI, OH 45236
Hamilton County (513) 985-9800
SANDRA HALL KESNER CNP
Nurse Practitioner (Family)
4760 E GALBRAITH RD, STE 208
CINCINNATI, OH 45236
Hamilton County (513) 686-2663
NEPHROLOGY ASSOCIATES OF SOUTHWESTERN OHIO, INC
Internal Medicine (Nephrology)
4760 E GALBRAITH RD, #206
CINCINNATI, OH 45236
Hamilton County (513) 863-8212
DONALD L WAYNE MD
Internal Medicine (Cardiovascular Disease)
4760 E GALBRAITH RD, SUITE 205
CINCINNATI, OH 45236
Hamilton County (513) 985-0741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erich Walder's NPI number?

The NPI number for Erich Walder is 1023032927. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Erich Walder located?

Erich Walder practices at 4760 E Galbraith Rd Suite 206, Cincinnati, OH 45236. The listed phone number is (513) 791-4490.

What is Erich Walder's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Erich Walder enrolled in Medicare?

Yes. Erich Walder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Erich Walder accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Erich Walder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erich Walder affiliated with any hospitals?

According to CMS data, Erich Walder is affiliated with The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital, Mercy Health - West Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Erich Walder was last updated on May 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.