Active NPI 1316926082 Individual Practitioner Male Practitioner

Dr. David J Rathe , DO

Internal Medicine • Waverly, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Rathe, DO is a certified Internal Medicine practicing in Waverly, IA. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Rathe delivers high-quality medical care to the local community at 312 9TH ST SW.

Dr. Rathe is affiliated with Iowa Physicians Clinic Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood test, lipids (cholesterol and triglycerides), blood test, basic group of blood chemicals (calcium, total). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

312 9th St Sw
Suite 1200

Waverly, IA 506772929

Telephone 3193524340

Fax 3193520745

Associated Practice Facility / Clinic

🏢 Waverly Health Center Facility NPI 1326027988

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Waverly, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs Matches City Avg

City Avg: 39.0 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Waverly, IA (907 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rathe (39 Years) 39 Yrs

Waverly Specialty Average (39.0 Years) 39.0 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	38	35	$238.58	$118.54
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$168.25	$83.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80061 Blood test, lipids (cholesterol and triglycerides)	275	206	$40.00	$13.32
80048 Blood test, basic group of blood chemicals (calcium, total)	271	178	$25.00	$8.42
85610 Blood test, clotting time	270	33	$11.00	$4.26
84450 Liver enzyme (sgot), level	197	132	$15.00	$5.16
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	161	126	$21.00	$8.22
83036 Hemoglobin A1C level	91	64	$28.00	$9.66
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	75	57	$19.00	$6.43
82947 Blood glucose (sugar) level	70	63	$11.00	$3.91
81001 Manual urinalysis test with examination using microscope, automated	55	47	$10.00	$3.15
81003 Automated urinalysis test	53	50	$7.00	$2.24
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	40	38	$25.00	$7.61
82570 Creatinine level to test for kidney function or muscle injury	38	36	$15.00	$5.16
82044 Urine microalbumin (protein) analysis	38	36	$16.00	$6.20
84550 Uric acid level, blood	16	14	$13.00	$4.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80061 Blood test, lipids (cholesterol and triglycerides)	344	234	$41.00	$14.58
80048 Blood test, basic group of blood chemicals (calcium, total)	339	191	$26.00	$9.21
85610 Blood test, clotting time	275	31	$11.00	$4.28
84450 Liver enzyme (sgot), level	233	136	$16.00	$5.63
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	227	168	$21.00	$8.12
83036 Hemoglobin A1C level	121	68	$30.00	$10.57
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	92	65	$18.00	$7.04
81001 Manual urinalysis test with examination using microscope, automated	81	72	$9.00	$3.45
82947 Blood glucose (sugar) level	81	76	$11.00	$4.28
81003 Automated urinalysis test	64	60	$6.00	$2.44
82570 Creatinine level to test for kidney function or muscle injury	56	52	$16.00	$5.63
82044 Urine microalbumin (protein) analysis	56	52	$16.00	$6.11
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	22	$25.00	$7.32
84550 Uric acid level, blood	19	13	$13.00	$4.92
94060 Test to measure expiratory airflow and volume changes before and after medication administration	19	19	$32.00	$12.61
94729 Test to examine how well the lungs exchange gases	18	18	$22.00	$8.82
94750 Measurement of lung stretching capacity	18	18	$27.00	$10.56
94726 Determination of lung volumes using plethysmography	18	18	$30.00	$11.95
82565 Blood creatinine level	18	17	$16.00	$5.58
80076 Liver function blood test panel	12	12	$23.00	$8.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80048 Blood test, basic group of blood chemicals (calcium, total)	330	196	$33.96	$10.23
85610 Blood test, clotting time	314	38	$15.29	$4.75
80061 Blood test, lipids (cholesterol and triglycerides)	305	222	$46.80	$16.20
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	241	183	$25.51	$8.11
84450 Liver enzyme (sgot), level	219	141	$16.88	$6.26
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	117	89	$23.67	$7.82
81001 Manual urinalysis test with examination using microscope, automated	105	89	$15.97	$3.84
83036 Hemoglobin A1C level	103	61	$33.63	$11.75
84443 Blood test, thyroid stimulating hormone (TSH)	78	58	$56.87	$20.33
81003 Automated urinalysis test	75	62	$9.80	$2.71
82947 Blood glucose (sugar) level	74	67	$12.57	$4.75
82044 Urine microalbumin (protein) analysis	46	41	$23.07	$6.11
82570 Creatinine level to test for kidney function or muscle injury	46	41	$22.50	$6.26
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	29	29	$19.00	$7.49
94729 Test to examine how well the lungs exchange gases	22	22	$21.32	$8.82
94726 Determination of lung volumes using plethysmography	22	22	$29.55	$11.94
94060 Test to measure expiratory airflow and volume changes before and after medication administration	22	22	$34.18	$12.61
94750 Measurement of lung stretching capacity	22	22	$25.55	$10.56
84550 Uric acid level, blood	19	13	$14.79	$5.47
93793 Anticoagulant management of patient taking warfarin	19	14	$29.00	$11.35
82565 Blood creatinine level	18	17	$17.33	$6.20
84132 Blood potassium level	14	14	$14.86	$5.57
80076 Liver function blood test panel	11	11	$52.27	$9.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85610 Blood test, clotting time	391	41	$24.00	$4.68
80048 Blood test, basic group of blood chemicals (calcium, total)	333	195	$62.00	$10.01
80061 Blood test, lipids (cholesterol and triglycerides)	326	234	$67.00	$12.21
84450 Liver enzyme (sgot), level	252	147	$20.00	$3.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	236	178	$36.00	$8.07
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	132	96	$33.00	$8.69
81001 Manual urinalysis test with examination using microscope, automated	130	102	$29.00	$4.26
84443 Blood test, thyroid stimulating hormone (TSH)	122	71	$72.00	$22.59
82947 Blood glucose (sugar) level	102	85	$15.00	$3.71
83036 Hemoglobin A1C level	102	55	$47.00	$13.05
81003 Automated urinalysis test	58	56	$22.00	$3.02
82044 Urine microalbumin (protein) analysis	47	42	$41.00	$6.15
82570 Creatinine level to test for kidney function or muscle injury	47	42	$39.00	$6.96
83721 Ldl cholesterol level	45	45	$43.00	$10.27
82565 Blood creatinine level	41	36	$20.00	$3.41
84132 Blood potassium level	39	34	$18.00	$3.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	36	31	$40.00	$10.45
84295 Blood sodium level	33	29	$18.00	$2.96
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	33	31	$36.00	$8.08
84550 Uric acid level, blood	29	18	$17.00	$2.53
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	20	15	$167.00	$85.66
94750 Measurement of lung stretching capacity	19	19	$24.00	$10.54
94060 Test to measure expiratory airflow and volume changes before and after medication administration	19	19	$45.00	$12.60
94726 Determination of lung volumes using plethysmography	19	19	$28.00	$11.93
94729 Test to examine how well the lungs exchange gases	19	19	$19.00	$8.81
80076 Liver function blood test panel	16	16	$85.00	$9.36
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	16	$26.00	$7.49

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IA 02383

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.

Pediatrics - Sports Medicine

NUCC Taxonomy Code: 2080S0010X

State License IA 02383

A pediatrician who is 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 healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1080994 (IA)

Medicaid State Provider ID

1316926082 (IA)

Commercial Insurance / Payer ID Rr Medicare

110126474 (IA)

Hospital & Practice Group Affiliations

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221644

Iowa Physicians Clinic Medical Foundation

2140 Logan Ave, Waterloo, IA 507031002

Iowa Physicians Clinic Medical Foundation

5100 Prairie Pkwy, Cedar Falls, IA 506138155

Practice Associates & Co-Workers

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

9 Associated Practitioners

Scott Johnson , PA-C

Physician Assistant

NPI 1124006762

Physician Assistant (Certified)

Dr. Stephanie Koos , DO

Family Medicine

NPI 1508066721

Doctor of Osteopathic Medicine (D.O.)

Debra Lodge

Nurse Practitioner - Family

NPI 1619392438

Dr. Jason Gipson , MD

Family Medicine

NPI 1740439769

Doctor of Medicine (M.D.)

Heidi Prose , ARNP

Nurse Practitioner

NPI 1831484898

Advanced Registered Nurse Practitioner

Dr. Daniel Darnold , MD

Family Medicine

NPI 1851378970

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active May 16, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2012

Registered at 312 9TH ST SW, SUITE 1200, WAVERLY, IA 506772929 (Tel: 3193524340)

📍

Updated Business Mailing Address May 16, 2012

Registered at 312 9TH ST SW, SUITE 1200, WAVERLY, IA 506772929 (Tel: 3193524340)

👤

Provider Name / Credentials Updated May 16, 2012

Recorded as DAVID RATHE, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Internal Medicine (License #02383 in IA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Pediatrics (License #02383 in IA)

🟢

Initial NPI Registration & Enumeration January 11, 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: 1316926082

Entity Type:

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

Enumeration Date: January 11, 2006

Last Update: May 16, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

312 9th St Sw, Suite 1200

Waverly, IA 506772929

Phone: 3193524340

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.