Active NPI 1356333736 Individual Practitioner Male Practitioner

Dr. John Stanley Wichmann-Walczak , MD

General Practice • Waipahu, HI

Professional Overview & Biography Verified Profile Summary

Dr. John Wichmann-Walczak, MD is a registered healthcare professional specializing in General Practice in Waipahu, HI. Practice services are available at 94-837 WAIPAHU ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

94-837 Waipahu St

Waipahu, HI 967973320

Telephone 8086713911

Fax 8086772720

Associated Practice Facility / Clinic

🏢 Charlie Y Sonido M D Llc Facility NPI 1154471126

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Waipahu, HI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 42.0 Yrs

State Avg: 31.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Waipahu, HI (183 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

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	17	17	$157.07	$110.54

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	171	125	$156.16	$93.33
99213 Established patient office or other outpatient visit, typically 15 minutes	66	56	$104.71	$65.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$180.00	$119.01
G0444 Annual depression screening, 5 to 15 minutes	27	27	$36.65	$19.53
81002 Urinalysis, manual test	15	14	$14.66	$3.19
99497 Advance care planning, first 30 minutes	13	13	$94.24	$81.15

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	136	114	$143.02	$85.86
99213 Established patient office or other outpatient visit, typically 15 minutes	81	61	$100.32	$59.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$180.00	$116.95
G0444 Annual depression screening, 5 to 15 minutes	24	24	$36.65	$18.36
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$50.00	$17.48
G0008 Administration of influenza virus vaccine	23	23	$36.65	$22.39
99497 Advance care planning, first 30 minutes	21	21	$77.79	$67.84
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$97.38	$15.18

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	212	146	$130.89	$95.63
99213 Established patient office or other outpatient visit, typically 15 minutes	115	81	$94.24	$66.29
99497 Advance care planning, first 30 minutes	53	49	$62.83	$60.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$180.00	$119.52
G0444 Annual depression screening, 5 to 15 minutes	39	39	$36.65	$18.96
G0008 Administration of influenza virus vaccine	21	21	$36.65	$28.13
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$50.00	$17.48
82947 Blood glucose (sugar) level	16	14	$25.13	$5.16
83036 Hemoglobin A1C level	11	11	$41.88	$13.05

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License HI MD2647

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

013771-03 (HI)

Commercial Insurance / Payer ID Hmsa Provider Number

00E001467-9 (HI)

Commercial Insurance / Payer ID Medicare Pin Number

151218

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Agnes Serranilla-Sonido , MD

Family Medicine

NPI 1093450454

Doctor of Medicine (M.D.)

Dr. Charlie Sonido , MD

Internal Medicine

NPI 1518910660

Doctor of Medicine (M.D.)

Paula Nichaelle Aquino , MSN, APRN-RX, FNP-BC

Nurse Practitioner

NPI 1831841006

Master of Science in Nursing, APRNRX, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 94-837 WAIPAHU ST, WAIPAHU, HI 967973320 (Tel: 8086713911)

📍

Updated Business Mailing Address July 08, 2007

Registered at 94-837 WAIPAHU ST, WAIPAHU, HI 967973320 (Tel: 8086713911)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN WICHMANN-WALCZAK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #MD2647 in HI)

🟢

Initial NPI Registration & Enumeration August 22, 2005

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: 1356333736

Entity Type:

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

Enumeration Date: August 22, 2005

Last Update: December 27, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

94-837 Waipahu St

Waipahu, HI 967973320

Phone: 8086713911

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.