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DR. BARBARA FRANCES WESTERHAUS MD
NPI 1679868376
Internal Medicine in Philadelphia, PA

Active since June 10, 2011PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
833 CHESTNUT STREET, SUITE 701, PHILADELPHIA, PA 19107(215) 955-6180(215) 955-6410 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Barbara Frances Westerhaus Md NPPES

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

DR. BARBARA FRANCES WESTERHAUS MD (NPI 1679868376) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD449889) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Emory University School Of Medicine (2011).

NPPES Registry Identity

NPI1679868376
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. BARBARA FRANCES WESTERHAUSCredential: MD
Location Address833 CHESTNUT STREET, SUITE 701Philadelphia, PA 19107-4409
Mailing Address833 Chestnut Street, Suite 701Philadelphia, PA 19107-4409 · (215) 955-6180 · Fax (215) 955-6410
Phone(215) 955-6180
Fax(215) 955-6410
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2011
Enumeration DateJune 10, 2011
Last NPPES UpdateJuly 22, 2014
✔ NPI 1679868376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD449889✔ Licensed in PA · MT200367
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT200367 (PA)
833 CHESTNUT STREET, Philadelphia, PA 19107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Barbara Frances Westerhaus 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 ID5991925109
PECOS Enrollment IDI20141009001159
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 8

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.
74 services63 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
28 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services24 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.
17 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

REBECCA PROSSER
Nurse Practitioner (Women's Health)
833 CHESTNUT STREET, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
DR. ONYEKA W. OKONKWO MD
Internal Medicine
833 CHESTNUT STREET, SUITE 701
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9180
DR. RICHARD C. WENDER MD
Family Medicine
833 CHESTNUT STREET, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190
DR. KAREN D. NOVIELLI M.D.
Family Medicine
833 CHESTNUT STREET, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190
DR. MEREDITH L. BIRSNER M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
833 CHESTNUT STREET, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
DR. LILY L. SOMWARU ACKERMANN M.D.
Internal Medicine
833 CHESTNUT STREET, SUITE 701
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6180
DR. MICHELE SAINT FRAN LO
Obstetrics & Gynecology
833 CHESTNUT STREET, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
JANIS BONAT CRNP
Nurse Practitioner (Family)
833 CHESTNUT STREET, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190

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 Barbara Westerhaus's NPI number?

The NPI number for Barbara Westerhaus is 1679868376. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Barbara Westerhaus located?

Barbara Westerhaus practices at 833 Chestnut Street Suite 701, Philadelphia, PA 19107. The listed phone number is (215) 955-6180.

What is Barbara Westerhaus's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Barbara Westerhaus enrolled in Medicare?

Yes. Barbara Westerhaus 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 Barbara Westerhaus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Barbara Westerhaus 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 Barbara Westerhaus affiliated with any hospitals?

According to CMS data, Barbara Westerhaus is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Barbara Westerhaus was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.