JAMES M WALTENBERGER MD
NPI 1033129697
Surgery in Mount Pleasant, WI

Q: What is James Waltenberger's NPI number?

The NPI number for James Waltenberger is 1033129697. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is James Waltenberger's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment

13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177(888) 720-2012 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James M Waltenberger Md NPPES

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

JAMES M WALTENBERGER MD (NPI 1033129697) is an individual surgery provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (45831) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and maintains a secondary practice location in Racine.

NPPES Registry Identity

NPI1033129697

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES M WALTENBERGERCredential: MD

Location Address13250 WASHINGTON AVEMount Pleasant, WI 53177-1516

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (888) 720-2012

Phone(888) 720-2012

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 1998

Enumeration DateAugust 8, 2006

Last NPPES UpdateJuly 3, 2023

NPPES CertifiedJuly 3, 2023

✔ NPI 1033129697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WI · 45831

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

13250 WASHINGTON AVE, Mount Pleasant, WI 53177

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Secondary Practice Location 1

Location 13811 Spring St, Suite 201Racine, WI 53405-1667 · Phone (262) 687-5800

Other Identifiers 1

Medicaid34406900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners 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

James M Waltenberger 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 ID5799888335

PECOS Enrollment IDI20070320000086

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 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

72 services31 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

41 services40 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

15 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53177 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

ALEXIS MARIE VENTURA DNP, CRNA

Nurse Anesthetist, Certified Registered

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (262) 857-5000

JACK CONOR NEYLON

Registered Nurse

13250 WASHINGTON AVE
MT PLEASANT, WI 53177

Racine County (262) 799-8700

DR. ADRIAN KENNETH STULL M.D.

Emergency Medicine

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (262) 799-8700

DR. DONNA J HEMPHILL MD

Obstetrics & Gynecology

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (888) 720-2012

MARGARET ANN RYNKIEWICZ

Physician Assistant

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (262) 799-8700

MR. JEFFREY THOMAS VAUGHAN KROEGER CRNA

Nurse Anesthetist, Certified Registered

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (262) 799-8700

MR. EVAN JACOB CLARK MD

Emergency Medicine

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (262) 799-8200

MRS. SARAH KATHERINE KORDUS NP

Nurse Practitioner

13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177

Racine County (888) 720-2012

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 James Waltenberger's NPI number?

The NPI number for James Waltenberger is 1033129697. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is James Waltenberger located?

James Waltenberger practices at 13250 Washington Ave, Mount Pleasant, WI 53177. The listed phone number is (888) 720-2012.

What is James Waltenberger's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Waltenberger enrolled in Medicare?

Yes. James Waltenberger 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 James Waltenberger accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list James Waltenberger 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 James Waltenberger affiliated with any hospitals?

According to CMS data, James Waltenberger is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for James Waltenberger was last updated on July 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.