JOHN WAELTZ M.D.
NPI 1174638621
Obstetrics & Gynecology in Glendale, WI

NPI Status: Active since August 21, 2006

Contact Information

4655 N PORT WASHINGTON RD
SUITE 100
GLENDALE, WI
ZIP 53212
Phone: (414) 961-7444
Fax: (414) 961-7445

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  • Individual
  • Male
  • Obstetrics & Gynecology
  • PECOS Enrolled

About JOHN WAELTZ

This page provides the complete NPI Profile along with additional information for John Waeltz, a women's health care provider established in Glendale, Wisconsin with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1174638621 assigned on August 2006. The practitioner's primary taxonomy code is 207V00000X with license number 26524 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1174638621
Provider Name
JOHN WAELTZ M.D.
Gender
Male
Entity Type
Individual
Location Address
4655 N PORT WASHINGTON RD SUITE 100 GLENDALE, WI 53212
Location Phone
(414) 961-7444
Location Fax
(414) 961-7445
Mailing Address
4655 N PORT WASHINGTON RD SUITE 100 GLENDALE, WI 53212
Mailing Phone
(414) 961-7444
Mailing Fax
(414) 961-7445
Is Sole Proprietor?
No
Enumeration Date
08-21-2006
Last Update Date
10-31-2008
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Women's health care providers like John Waeltz treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
26524
License State
WI
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B57392MEDICARE UPIN (02)WI 
30767800MEDICAID (05)WI 

Medicare Participation & PECOS Enrollment Status

John Waeltz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 53212 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $123.69
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $30.92
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JOHN WAELTZ M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174638621, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 2 + 3 + 1 + 6 + 6 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1174638621.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
4655 N PORT WASHINGTON RD, SUITE 200
GLENDALE, WI 53212
Nurse Practitioner (Family)
4655 N PORT WASHINGTON RD, SUITE 325
GLENDALE, WI 53212
Nurse Practitioner (Family)
4655 N PORT WASHINGTON RD, STE 325
GLENDALE, WI 53212
Counselor (Mental Health)
4655 N PORT WASHINGTON RD
MILWAUKEE, WI 53212
Counselor (Professional)
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212
Counselor (Professional)
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212
Obstetrics & Gynecology
4655 N PORT WASHINGTON RD, SUITE 100
GLENDALE, WI 53212
Physical Therapist
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212
Counselor (Professional)
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212
Physical Therapist
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212
Physical Therapist
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174638621, enumerated as an "individual" on August 21, 2006.

The provider is located at 4655 N PORT WASHINGTON RD SUITE 100 GLENDALE, WI 53212 and the phone number is (414) 961-7444.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.