JEAN KARYN WALTUCH MD
NPI 1093770919
Internal Medicine in Menlo Park, CA

Q: What is Jean Waltuch's NPI number?

The NPI number for Jean Waltuch is 1093770919. It was assigned to this individual provider in the NPPES registry on April 20, 2006. The provider is also known as Jeanie K Waltuch MD.

Q: What is Jean Waltuch's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jean Waltuch was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

1300 CRANE ST, MENLO PARK, CA 94025(650) 498-6500 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 24, 2024, Jul 24, 2023 (2 updates tracked since 2023).

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About Jean Karyn Waltuch Md NPPES

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

JEAN KARYN WALTUCH MD (NPI 1093770919) is an individual internal medicine provider in Menlo Park, California, licensed in California (A60642) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1995).

NPPES Registry Identity

NPI1093770919

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJEAN KARYN WALTUCHCredential: MD

Location Address1300 CRANE STMenlo Park, CA 94025-4260

Mailing Address1300 Crane StMenlo Park, CA 94025-4260 · (650) 498-6500

Phone(650) 498-6500

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1995

Enumeration DateApril 20, 2006

Last NPPES UpdateApril 24, 20242 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1093770919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A60642

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1300 CRANE ST, Menlo Park, CA 94025

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Other Names 1

Other Name (5)Jeanie K Waltuch Md

Other Identifiers 1

OtherMMM00087MNhic

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jean Karyn Waltuch 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 ID3971550849

PECOS Enrollment IDI20050401000953

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.

Medicare Billing Reassignments

Medicare enrollment records show Jean Waltuch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stanford Health Care

1.5 mi

General Acute Care Hospital

300 PASTEUR DRIVE
Stanford, CA 94305

Reassigned Medicare billing, California enrollment
4,258 clinicians in this Medicare group

NPI 1437292927 (650) 723-4000

University Healthcare Alliance

9.0 mi

Internal Medicine

7999 GATEWAY BLVD STE 200
Newark, CA 94560

Reassigned Medicare billing, California enrollment
435 clinicians in this Medicare group

NPI 1760531198 (888) 924-1036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

272 services172 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.

255 services224 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

189 services189 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

70 services68 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

67 services65 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94025 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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.

MS. JODIE LYNN PORGES RR, CDE

Dietitian, Registered