DR. JOHN JOSEPH WALLBILLICH IV M.D.
NPI 1396094744
Obstetrics & Gynecology - Gynecologic Oncology in Augusta, GA

Active since August 30, 2012PECOS EnrolledAccepts Medicare Assignment
820 SAINT SEBASTIAN WAY, SUITE 3-A, AUGUSTA, GA 30901(614) 293-3873 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Joseph Wallbillich Iv M.d. NPPES

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

DR. JOHN JOSEPH WALLBILLICH IV M.D. (NPI 1396094744) is an individual gynecologic oncology provider in Augusta, Georgia, licensed in Georgia (076530) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of University Of Michigan Medical School (2009).

NPPES Registry Identity

NPI1396094744
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. JOHN JOSEPH WALLBILLICH IVCredential: M.D.
Location Address820 SAINT SEBASTIAN WAY, SUITE 3-AAugusta, GA 30901-2643
Mailing Address320 W 10th Ave, M210 Starling LovingColumbus, OH 43210-1280 · (614) 293-7642
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2009
Enumeration DateAugust 30, 2012
Last NPPES UpdateSeptember 13, 2016
NPI 1396094744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in GA · 076530
Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 35.121625 (OH)
820 SAINT SEBASTIAN WAY, Augusta, GA 30901

Accepted 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

Dr. John Joseph Wallbillich Iv M.d. 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 ID9032350046
PECOS Enrollment IDI20190911001906
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 3

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.

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.
43 services26 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.
42 services15 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.
21 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 20

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

Surgery (Plastic and Reconstructive Surgery)
820 SAINT SEBASTIAN WAY, SUITE 1A
AUGUSTA, GA 30901
Internal Medicine
820 SAINT SEBASTIAN WAY, STE. 4C
AUGUSTA, GA 30901
Internal Medicine (Gastroenterology)
820 SAINT SEBASTIAN WAY, SUITE 5B
AUGUSTA, GA 30901
Internal Medicine (Gastroenterology)
820 SAINT SEBASTIAN WAY, SUITE 5B
AUGUSTA, GA 30901
Internal Medicine (Gastroenterology)
820 SAINT SEBASTIAN WAY, SUITE 5B
AUGUSTA, GA 30901
Internal Medicine (Gastroenterology)
820 SAINT SEBASTIAN WAY, SUITE 5B
AUGUSTA, GA 30901
Internal Medicine (Gastroenterology)
820 SAINT SEBASTIAN WAY, SUITE 5B
AUGUSTA, GA 30901
Anesthesiology
820 SAINT SEBASTIAN WAY, SUITE 8A
AUGUSTA, GA 30901

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 John Wallbillich's NPI number?

The NPI number for John Wallbillich is 1396094744. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is John Wallbillich located?

John Wallbillich practices at 820 Saint Sebastian Way Suite 3-A, Augusta, GA 30901. The listed phone number is (614) 293-3873.

What is John Wallbillich's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is John Wallbillich enrolled in Medicare?

Yes. John Wallbillich 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 John Wallbillich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list John Wallbillich 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 John Wallbillich affiliated with any hospitals?

According to CMS data, John Wallbillich is affiliated with Harper University Hospital, Mclaren Flint and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for John Wallbillich was last updated on September 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.