ROBERT JOSEPH WALLERSTEIN MD
NPI 1285696203
Pediatrics in Monrovia, CA

Q: What is Robert Wallerstein's NPI number?

The NPI number for Robert Wallerstein is 1285696203. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Robert Wallerstein's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment

74.46/100

CMS Quality Rating

655 E HUNTINGTON DR, MONROVIA, CA 91016(626) 471-7455 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2019, Dec 21, 2016 (2 updates tracked since 2016).

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About Robert Joseph Wallerstein Md NPPES

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

ROBERT JOSEPH WALLERSTEIN MD (NPI 1285696203) is an individual pediatrics provider in Monrovia, California, licensed in California (G88350) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Honolulu, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1285696203

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameROBERT JOSEPH WALLERSTEINCredential: MD

Location Address655 E HUNTINGTON DRMonrovia, CA 91016

Mailing Address16557 Marchmont DrLos Gatos, CA 95032-5606 · (408) 335-8449

Phone(626) 471-7455

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateApril 5, 2006

Last NPPES UpdateMay 16, 20192 updates tracked since enumeration

✔ NPI 1285696203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G88350

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License G88350 (CA)

655 E HUNTINGTON DR, Monrovia, CA 91016

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Secondary Practice Location 1

Location 11441 Kapiolani Blvd, Suite 1800Honolulu, HI 96814-4402 · Phone (808) 973-3403 · Fax (808) 973-3401

Other Identifiers 1

Medicaid01704714NY

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

Robert Joseph Wallerstein 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 ID2860674066

PECOS Enrollment IDI20110309000631

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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91016 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

74.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

46.68

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.

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