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DR. DOUGLAS WALTMAN PH.D.
NPI 1285850180
Psychologist - Clinical in Mentor, OH

Active since April 18, 2007PECOS Enrolled
9002 MENTOR AVE, MENTOR, OH 44060(440) 205-1008(440) 205-1047 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Douglas Waltman Ph.d. NPPES

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

DR. DOUGLAS WALTMAN PH.D. (NPI 1285850180) is an individual clinical provider in Mentor, Ohio, licensed in Ohio (3553) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285850180
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DOUGLAS WALTMANCredential: PH.D.
Location Address9002 MENTOR AVEMentor, OH 44060-6302
Mailing Address9002 Mentor AveMentor, OH 44060-6302 · (440) 205-1008 · Fax (440) 205-1047
Phone(440) 205-1008
Fax(440) 205-1047
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateNovember 28, 2011
✔ NPI 1285850180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OH · 3553
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
9002 MENTOR AVE, Mentor, OH 44060
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Other Identifiers 1

Medicare PINWACP 17841OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Waltman Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Douglas Waltman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rakesh Ranjan M.D. & Assoc., Inc.
23 mi
Clinical Medical Laboratory
12395 MCCRACKEN RD STE A-UP
Garfield Heights, OH 44125
  • Reassigned Medicare billing, Ohio enrollment
  • 56 clinicians in this Medicare group
NPI 1033143722 (216) 587-6727

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

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.

MRS. STACEY LYNN FELLINGER L.M.T.
Massage Therapist
9002 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 266-1901
GLENN EUGENE KERSHAW JR. PTA
Physical Therapy Assistant
9002 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 266-1901
DR. EMAD A. MIKHAIL MD
Pain Medicine (Interventional Pain Medicine)
9002 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 306-2358
J&K PAIN MANAGEMENT COMPANY LLC
Specialist
9002 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 306-2358
WILLIAM L EPPICH DPT
Physical Therapist
9002 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 266-1901

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 Douglas Waltman's NPI number?

The NPI number for Douglas Waltman is 1285850180. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Douglas Waltman located?

Douglas Waltman practices at 9002 Mentor Ave, Mentor, OH 44060. The listed phone number is (440) 205-1008.

What is Douglas Waltman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Douglas Waltman enrolled in Medicare?

Yes. Douglas Waltman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Waltman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Waltman reassigns Medicare benefits to Rakesh Ranjan M.D. & Assoc., Inc. (Garfield Heights, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Waltman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Waltman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual list Douglas Waltman 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 Douglas Waltman was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.