DR. ALEXANDER WALDHERR DO
NPI 1457939704
Family Medicine - Sports Medicine in Olney, IL

Q: What is Alexander Waldherr's NPI number?

The NPI number for Alexander Waldherr is 1457939704. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Alexander Waldherr's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment

504 MICAH DR, OLNEY, IL 62450(618) 388-3128(618) 388-3127 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2025, Jul 27, 2024, Jun 8, 2024 and 3 more (6 updates tracked since 2021).

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About Dr. Alexander Waldherr Do NPPES

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

DR. ALEXANDER WALDHERR DO (NPI 1457939704) is an individual sports medicine provider in Olney, Illinois, licensed in Illinois (036.170058) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Wabash General Hospital 1, and is a graduate of Marian University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1457939704

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. ALEXANDER WALDHERRCredential: DO

Location Address504 MICAH DROlney, IL 62450-4720

Mailing Address504 Micah DrOlney, IL 62450-4720 · (618) 388-3128 · Fax (618) 388-3127

Phone(618) 388-3128

Fax(618) 388-3127

Sole ProprietorNo

Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2021

Enumeration DateMarch 30, 2021

Last NPPES UpdateOctober 22, 20256 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1457939704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in IL · 036.170058

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 02007147B (IN), 036.170058 (IL)

504 MICAH DR, Olney, IL 62450

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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. Alexander Waldherr Do 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 ID8527469048

PECOS Enrollment IDI20240816003906

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.

Hospital Affiliations CMS Care Compare 2

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

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141327

Location1418 College DriveMount Carmel, IL 62863 · Wabash County

Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL

OwnershipGovernment - Local

CMS Certification Number141351

Location911 Stacy Burk DrFlora, IL 62839 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62450 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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Other Providers at the Same Location NPPES 13

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

MISS KYNA VINCENT

Counselor

504 MICAH DR, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

RICHLAND FAMILY COUNSELING CTRS INC

Counselor (Addiction (Substance Use Disorder))

504 MICAH DR, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4309

MR. WESLEY GRIESEMER BS

Counselor (Mental Health)

504 MICAH DR, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4309

MRS. ALICE MULRENIN BA

Counselor (Mental Health)

504 MICAH DR
OLNEY, IL 62450

Richland County (619) 395-4306

MS. DESTINY M MILLER BS

Counselor (Mental Health)

504 MICAH DR, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4506

MISS JAMIE L LONG

Counselor (Mental Health)

504 MICAH DR, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

MS. RICKIE WOOD BS

Counselor (Mental Health)

504 MICAH DR, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

MISS MICHELLE ALUMBAUGH

Counselor

504 MICAH DR, DRAWER M
OLNEY, IL 62450

Richland County (618) 395-4306

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 Alexander Waldherr's NPI number?

The NPI number for Alexander Waldherr is 1457939704. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Alexander Waldherr located?

Alexander Waldherr practices at 504 Micah Dr, Olney, IL 62450. The listed phone number is (618) 388-3128.

What is Alexander Waldherr's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Alexander Waldherr enrolled in Medicare?

Yes. Alexander Waldherr 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.

Is Alexander Waldherr affiliated with any hospitals?

According to CMS data, Alexander Waldherr is affiliated with Wabash General Hospital 1 and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Alexander Waldherr was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.