THOMAS ALLEN WOLTJER D.O.
NPI 1376989202
Ophthalmology - Retina Specialist in Wichita, KS

Q: What is Thomas Woltjer's NPI number?

The NPI number for Thomas Woltjer is 1376989202. It was assigned to this individual provider in the NPPES registry on May 19, 2013.

Q: What is Thomas Woltjer's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Woltjer was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since May 19, 2013PECOS EnrolledAccepts Medicare Assignment

530 N LORRAINE AVE, WICHITA, KS 67214(316) 683-5611(316) 683-0294 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2024, Nov 18, 2021, Oct 18, 2021 and 3 more (6 updates tracked since 2017).

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About Thomas Allen Woltjer D.o. NPPES

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

THOMAS ALLEN WOLTJER D.O. (NPI 1376989202) is an individual retina specialist in Wichita, Kansas, licensed in Kansas (05-42080) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Wesley Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376989202

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameTHOMAS ALLEN WOLTJERCredential: D.O.

Location Address530 N LORRAINE AVEWichita, KS 67214-4837

Mailing Address530 N Lorraine AveWichita, KS 67214-4837 · (316) 683-5611 · Fax (316) 683-0294

Phone(316) 683-5611

Fax(316) 683-0294

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 19, 2013

Last NPPES UpdateNovember 7, 20246 updates tracked since enumeration

NPPES CertifiedNovember 7, 2024

✔ NPI 1376989202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in KS · 05-42080

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

530 N LORRAINE AVE, Wichita, KS 67214

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Other Identifiers 1

Medicaid201252990AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Thomas Allen Woltjer D.o. 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 ID5890065098

PECOS Enrollment IDI20190819003069

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 Reassignments

Medicare enrollment records show Thomas Woltjer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vitreo-Retinal Consultants & Surgeons PA

Same address

Retina Specialist

530 N LORRAINE ST
Wichita, KS 67214

Reassigned Medicare billing, Kansas enrollment
5 clinicians in this Medicare group

NPI 1275557761 (316) 683-5611

Geisinger Clinic

1,045 mi

Pediatrics

210 MEDICAL CENTER DRIVE
Philipsburg, PA 16866

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1811948367 (814) 342-8001

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

Areas of Expertise CMS Part B claims 12

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

722 services378 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

363 services131 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

333 services261 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

66 services56 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.

63 services63 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

53 services53 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

47 services31 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

33 services25 patients

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.

18 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services13 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

15 services12 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Wesley Medical Center

Acute Care Hospitals · Wichita, KS

5/5 CMS rating

OwnershipProprietary

CMS Certification Number170123

Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County

Emergency services Birthing friendly

Kansas Surgery & Recovery Center

Acute Care Hospitals · Wichita, KS

OwnershipPhysician

CMS Certification Number170183

Location2770 North Webb RoadWichita, KS 67226 · Sedgwick County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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.

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 Thomas Woltjer's NPI number?

The NPI number for Thomas Woltjer is 1376989202. It was assigned to this individual provider in the NPPES registry on May 19, 2013.

Where is Thomas Woltjer located?

Thomas Woltjer practices at 530 N Lorraine Ave, Wichita, KS 67214. The listed phone number is (316) 683-5611.

What is Thomas Woltjer's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Thomas Woltjer enrolled in Medicare?

Yes. Thomas Woltjer 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.

Which organizations bill Medicare for Thomas Woltjer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Woltjer reassigns Medicare benefits to 2 organizations: Vitreo-Retinal Consultants & Surgeons PA (Wichita, KS) and Geisinger Clinic (Philipsburg, PA). Each 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 Thomas Woltjer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Woltjer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Thomas Woltjer 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 Thomas Woltjer affiliated with any hospitals?

According to CMS data, Thomas Woltjer is affiliated with Wesley Medical Center and Kansas Surgery & Recovery Center.

When was this NPI record last updated?

The NPPES record for Thomas Woltjer was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.