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JOHAN WORNDLE MD
NPI 1295840833
Hospitalist in Dayton, OH

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
30 E APPLE ST, SUITE NW 3300, DAYTON, OH 45409(937) 208-2900(937) 208-8388 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Oct 26, 2017 (2 updates tracked since 2017).

About Johan Worndle Md NPPES

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

JOHAN WORNDLE MD (NPI 1295840833) is an individual hospitalist provider in Dayton, Ohio, licensed in Ohio (35.088285) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1295840833
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOHAN WORNDLECredential: MD
Location Address30 E APPLE ST, SUITE NW 3300Dayton, OH 45409-2939
Mailing Address30 E Apple St, Suite Nw 3300Dayton, OH 45409-2939 · (937) 208-2900 · Fax (937) 208-8388
Phone(937) 208-2900
Fax(937) 208-8388
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 21, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1295840833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.088285
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.088285 (OH)
30 E APPLE ST, Dayton, OH 45409
Open in Google Maps ↗

Other Identifiers 1

Medicaid2672648OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Johan Worndle 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 ID8729083696
PECOS Enrollment IDI20060927000419
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
133 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
103 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
71 services71 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$12.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$60.57 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 20

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

JEFFREY R MILLARD MD
Hospitalist
30 E APPLE ST, STE 6250
DAYTON, OH 45409
Montgomery County (937) 208-8394
AHMED MOHANDES MD
Internal Medicine
30 E APPLE ST, SUITE 6250
DAYTON, OH 45409
Montgomery County (937) 208-8394
AMBER MICHELLE SERNA FNP
Nurse Practitioner (Family)
30 E APPLE ST, STE NW 3300
DAYTON, OH 45409
Montgomery County (937) 208-8394
KELLY M THOBE PA
Physician Assistant
30 E APPLE ST, SUITE 5253
DAYTON, OH 45409
Montgomery County (937) 208-2552
PREMIER HEALTH SPECIALISTS INC
Surgery
30 E APPLE ST, STE 6258
DAYTON, OH 45409
Montgomery County (937) 208-5300
CRYSTAL GILLIGAN
Nurse Practitioner (Acute Care)
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Montgomery County (937) 208-4200
DR. FADI M TAYIM PH.D.
Clinical Neuropsychologist
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Montgomery County (937) 208-4200
DEBORAH LYNNE CONLEY RN
Registered Nurse
30 E APPLE ST, SUITE 6252
DAYTON, OH 45409
Montgomery County (937) 208-6232

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 Johan Worndle's NPI number?

The NPI number for Johan Worndle is 1295840833. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Johan Worndle located?

Johan Worndle practices at 30 E Apple St Suite NW 3300, Dayton, OH 45409. The listed phone number is (937) 208-2900.

What is Johan Worndle's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Johan Worndle enrolled in Medicare?

Yes. Johan Worndle 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.

What insurance does Johan Worndle accept?

Health plans from CareSource list Johan Worndle 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.

Is Johan Worndle affiliated with any hospitals?

According to CMS data, Johan Worndle is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Johan Worndle was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.