Active NPI 1184663932 Individual Practitioner Male Practitioner

Dr. Michael Adam Waldman , MD

Internal Medicine • Irvine, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Waldman, MD is a certified Internal Medicine practicing in Irvine, CA. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Waldman delivers high-quality medical care to the local community at 16100 SAND CANYON AVE.

Dr. Waldman is affiliated with Hoag Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16100 Sand Canyon Ave
250

Irvine, CA 926183716

Telephone 9496008260

Fax 9496008264

Associated Practice Facility / Clinic

🏢 Kenneth M Tokita Md Inc Facility NPI 1386693224

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Irvine, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +17.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

158 Specialists

Practicing in Irvine, CA (18502 Statewide)

Telehealth Adoption Rate

28.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waldman (41 Years) 41 Yrs

Irvine Specialty Average (23.8 Years) 23.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	142	$301.00	$138.33
99213 Established patient office or other outpatient visit, typically 15 minutes	225	123	$221.89	$98.53
99442 Telephone medical discussion with physician, 11-20 minutes	48	37	$242.08	$98.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$261.00	$139.95
93000 Routine ekg using at least 12 leads including interpretation and report	37	33	$71.00	$15.57
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	28	27	$213.00	$63.37
G0008 Administration of influenza virus vaccine	23	23	$60.00	$35.02
90662 Influenza vaccine split virus, preservative free	23	23	$221.13	$81.39
87807 Detection test by immunoassay with direct visual observation for respiratory syncytial virus	23	23	$30.00	$12.84
81002 Urinalysis, manual test	23	18	$9.00	$3.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$444.40	$177.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	145	$301.00	$138.93
99213 Established patient office or other outpatient visit, typically 15 minutes	230	128	$204.00	$98.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	92	92	$261.00	$140.36
99442 Telephone medical discussion with physician, 11-20 minutes	44	35	$240.00	$98.44
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	42	42	$529.00	$282.08
G0009 Administration of pneumococcal vaccine	42	42	$60.00	$33.42
93000 Routine ekg using at least 12 leads including interpretation and report	40	34	$69.38	$15.92
90662 Influenza vaccine split virus, preservative free	26	25	$136.00	$71.67
G0008 Administration of influenza virus vaccine	26	25	$60.00	$33.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$403.00	$188.07
99443 Telephone medical discussion with physician, 21-30 minutes	12	11	$363.00	$138.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	398	193	$301.00	$141.55
99213 Established patient office or other outpatient visit, typically 15 minutes	198	136	$204.00	$101.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$261.00	$145.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	45	$403.00	$200.03
93000 Routine ekg using at least 12 leads including interpretation and report	45	42	$58.00	$16.06
G0008 Administration of influenza virus vaccine	45	43	$60.00	$33.72
90662 Influenza vaccine split virus, preservative free	43	41	$136.00	$68.23
99442 Telephone medical discussion with physician, 11-20 minutes	34	26	$240.00	$101.00
G0009 Administration of pneumococcal vaccine	34	34	$60.00	$33.88
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	31	31	$529.00	$279.33
81002 Urinalysis, manual test	20	18	$9.00	$3.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$461.00	$184.82
82044 Urine microalbumin (protein) analysis	16	15	$16.00	$6.14
82570 Creatinine level to test for kidney function or muscle injury	15	14	$20.00	$5.10
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	14	$198.57	$35.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	149	$295.18	$144.52
99213 Established patient office or other outpatient visit, typically 15 minutes	180	124	$199.57	$102.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	51	$398.62	$201.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$261.00	$147.91
90662 Influenza vaccine split virus, preservative free	41	40	$156.08	$65.16
G0008 Administration of influenza virus vaccine	41	40	$60.00	$19.35
93000 Routine ekg using at least 12 leads including interpretation and report	39	36	$58.00	$16.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$448.75	$185.74
G0009 Administration of pneumococcal vaccine	21	21	$58.43	$19.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$551.50	$245.24
99442 Telephone medical discussion with physician, 11-20 minutes	17	15	$240.00	$102.35
81002 Urinalysis, manual test	17	13	$9.00	$3.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$323.00	$124.80
36415 Insertion of needle into vein for collection of blood sample	12	11	$8.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	107	$166.00	$83.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	79	$242.00	$122.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	39	$323.00	$163.55
G0008 Administration of influenza virus vaccine	44	42	$48.00	$18.95
90662 Influenza vaccine split virus, preservative free	43	41	$103.28	$60.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$261.00	$130.90
99442 Telephone medical discussion with physician, 11-20 minutes	19	16	$240.00	$81.63
93000 Routine ekg using at least 12 leads including interpretation and report	19	17	$59.58	$19.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$454.00	$230.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	117	$159.22	$81.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	95	$232.54	$119.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$257.15	$127.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	50	$314.72	$159.05
90662 Influenza vaccine split virus, preservative free	31	31	$107.00	$54.89
G0008 Administration of influenza virus vaccine	31	31	$36.00	$18.58
G0009 Administration of pneumococcal vaccine	22	22	$34.36	$18.58
81002 Urinalysis, manual test	18	14	$7.33	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$58.00	$18.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$429.50	$224.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$357.00	$178.98
90670 Pneumococcal vaccine for injection into muscle	12	12	$380.50	$208.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$195.36	$109.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	235	127	$123.83	$80.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	91	$182.75	$118.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	55	$250.31	$158.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$223.00	$128.81
90662 Influenza vaccine split virus, preservative free	44	40	$67.00	$51.91
G0008 Administration of influenza virus vaccine	44	41	$30.00	$23.13
93000 Routine ekg using at least 12 leads including interpretation and report	29	27	$88.00	$18.91
G0009 Administration of pneumococcal vaccine	20	20	$30.00	$23.13
90670 Pneumococcal vaccine for injection into muscle	12	12	$289.25	$197.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	93	$117.35	$78.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	81	$181.20	$114.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$163.41	$118.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	34	$264.18	$151.14
G0008 Administration of influenza virus vaccine	36	36	$30.42	$29.20
99497 Advance care planning, first 30 minutes	32	32	$200.00	$83.86
90662 Influenza vaccine split virus, preservative free	28	27	$67.00	$48.05
G0009 Administration of pneumococcal vaccine	22	22	$43.64	$29.11
90670 Pneumococcal vaccine for injection into muscle	17	17	$231.59	$186.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$87.56	$48.38
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$81.50	$18.61

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA A50052

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare

1346436342 (CA)

Commercial Insurance / Payer ID 1184663932

1184663932 (CA)

Hospital & Practice Group Affiliations

Hoag Clinic

16300 Sand Canyon Ave, Irvine, CA 926183703

Phone: 9497913101

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Parkson Lin , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1285683920

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active May 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 30, 2017

Registered at 16100 SAND CANYON AVE, 250, IRVINE, CA 926183716 (Tel: 9496008260)

📍

Updated Business Mailing Address May 30, 2017

Registered at 2092 SALT AIR DR, SANTA ANA, CA 927053379 (Tel: 9496008260)

👤

Provider Name / Credentials Updated May 30, 2017

Recorded as MICHAEL WALDMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2017

Internal Medicine (License #A50052 in CA)

✅

NPI Profile Active August 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2016

Registered at 16100 SAND CANYON AVE, 250, IRVINE, CA 926183716 (Tel: 9496008260)

📍

Updated Business Mailing Address August 04, 2016

Registered at 2092 SALT AIR DR, SANTA ANA, CA 927053379 (Tel: 9496008260)

👤

Provider Name / Credentials Updated August 04, 2016

Recorded as MICHAEL WALDMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2016

Internal Medicine (License #A50052 in CA)

🟢

Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184663932

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 06, 2006

Last Update: May 30, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2092 Salt Air Dr

Santa Ana, CA 927053379

Phone: 9496008260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.