CAROLINE LEE WALLNER M.D.
NPI 1114169760
Urology in Burbank, CA

Active since March 28, 2009PECOS EnrolledAccepts Medicare Assignment
81.14/100
CMS Quality Rating
2625 W ALAMEDA AVE STE 310, BURBANK, CA 91505(310) 794-7700(818) 260-8718 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Caroline Lee Wallner M.d. NPPES

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

CAROLINE LEE WALLNER M.D. (NPI 1114169760) is an individual urology provider in Burbank, California, licensed in California (A113187) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1114169760
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameCAROLINE LEE WALLNERCredential: M.D.
Location Address2625 W ALAMEDA AVE STE 310Burbank, CA 91505-4819
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631
Fax(818) 260-8718
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 28, 2009
Last NPPES UpdateJanuary 8, 2020
NPI 1114169760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · A113187
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License A113187 (CA)
2625 W ALAMEDA AVE STE 310, Burbank, CA 91505

Secondary Practice Locations 2

Location 11260 15th St Ste 1200Santa Monica, CA 90404-1147 · Phone (310) 451-8751 · Fax (310) 394-5302
Location 2200 Medical Plz, Suite 140Los Angeles, CA 90095-0001 · Phone (310) 794-6584 · Fax (310) 794-3513

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

Caroline Lee Wallner M.d. 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 ID4385955749
PECOS Enrollment IDI20150625002254
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 7

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.
398 services299 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
357 services273 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
111 services111 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
108 services97 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
65 services26 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
55 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91505 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

81.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.94
Promoting Interoperability100
Improvement Activities40
Cost57.64

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers18 claims4,440 services$1.49 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 5

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

Urology
2625 W ALAMEDA AVE STE 310
BURBANK, CA 91505
Chiropractor
2625 W ALAMEDA AVE STE 310
BURBANK, CA 91505
Urology
2625 W ALAMEDA AVE STE 310
BURBANK, CA 91505
Urology
2625 W ALAMEDA AVE STE 310
BURBANK, CA 91505
Urology
2625 W ALAMEDA AVE STE 310
BURBANK, CA 91505

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 Caroline Wallner's NPI number?

The NPI number for Caroline Wallner is 1114169760. It was assigned to this individual provider in the NPPES registry on March 28, 2009.

Where is Caroline Wallner located?

Caroline Wallner practices at 2625 W Alameda Ave Ste 310, Burbank, CA 91505. The listed phone number is (310) 794-7700.

What is Caroline Wallner's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Caroline Wallner enrolled in Medicare?

Yes. Caroline Wallner 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.

When was this NPI record last updated?

The NPPES record for Caroline Wallner was last updated on January 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.