DR. GORDON S WALBROEHL MD
NPI 1063494714
Family Medicine in Beavercreek, OH

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
4172 INDIAN RIPPLE RD, STE. A, BEAVERCREEK, OH 45440(937) 431-3779(937) 431-3776 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2020, Jan 29, 2019 (2 updates tracked since 2019).

About Dr. Gordon S Walbroehl Md NPPES

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

DR. GORDON S WALBROEHL MD (NPI 1063494714) is an individual family medicine provider in Beavercreek, Ohio, licensed in Ohio (35042049) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1972).

NPPES Registry Identity

NPI1063494714
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GORDON S WALBROEHLCredential: MD
Location Address4172 INDIAN RIPPLE RD, STE. ABeavercreek, OH 45440-3285
Mailing Address4172 Indian Ripple Rd Ste ABeavercreek, OH 45440-3286 · (937) 431-3779 · Fax (937) 431-3776
Fax(937) 431-3776
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1972
Enumeration DateNovember 17, 2005
Last NPPES UpdateNovember 16, 20202 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
NPI 1063494714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35042049
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4172 INDIAN RIPPLE RD, Beavercreek, OH 45440

Other Identifiers 1

Medicaid0377391OH

Accepted 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

Dr. Gordon S Walbroehl 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 ID7517052913
PECOS Enrollment IDI20071001000196
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45440 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 7

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

Family Medicine
4172 INDIAN RIPPLE RD, SUITE A
DAYTON, OH 45440
Internal Medicine (Cardiovascular Disease)
4172 INDIAN RIPPLE RD, SUITE B
DAYTON, OH 45440
Family Medicine
4172 INDIAN RIPPLE RD, SUITE A
BEAVERCREEK, OH 45440
Nurse Practitioner (Psychiatric/Mental Health)
4172 INDIAN RIPPLE RD
BEAVERCREEK, OH 45440
Nurse Practitioner (Family)
4172 INDIAN RIPPLE RD, STE A
BEAVERCREEK, OH 45440
Counselor (Professional)
4172 INDIAN RIPPLE RD
BEAVERCREEK, OH 45440
Nurse Practitioner (Psychiatric/Mental Health)
4172 INDIAN RIPPLE RD
BEAVERCREEK, OH 45440

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 Gordon Walbroehl's NPI number?

The NPI number for Gordon Walbroehl is 1063494714. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Gordon Walbroehl located?

Gordon Walbroehl practices at 4172 Indian Ripple Rd Ste. A, Beavercreek, OH 45440. The listed phone number is (937) 431-3779.

What is Gordon Walbroehl's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gordon Walbroehl enrolled in Medicare?

Yes. Gordon Walbroehl 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 Gordon Walbroehl accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Gordon Walbroehl 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.

When was this NPI record last updated?

The NPPES record for Gordon Walbroehl was last updated on November 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.