Active NPI 1801864004 Individual Practitioner Male Practitioner

Dr. Jon Walheim , MD

Internal Medicine • Doylestown, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Walheim, MD is a certified Internal Medicine practicing in Doylestown, PA. With approximately 56 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1970, Dr. Walheim delivers high-quality medical care to the local community at 310 FARM LANE.

Dr. Walheim is affiliated with Via Affiliates and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, 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

310 Farm Lane

Doylestown, PA 189014732

Telephone 2153483990

Fax 2153487705

Associated Practice Facility / Clinic

🏢 Doylestown Internal Medicine Associates Pc Facility NPI 1720010309

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1970

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Doylestown, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

56 Yrs +24.7 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

27 Specialists

Practicing in Doylestown, PA (7609 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walheim (56 Years) 56 Yrs

Doylestown Specialty Average (31.3 Years) 31.3 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	447	198	$205.00	$82.24
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	393	202	$25.00	$16.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	145	145	$370.00	$47.66
99213 Established patient office or other outpatient visit, typically 15 minutes	72	64	$145.00	$71.40
G0008 Administration of influenza virus vaccine	48	48	$75.00	$33.29
90653 Vaccine for influenza for injection into muscle	45	45	$165.00	$81.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	33	$290.00	$75.00
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$80.00	$14.71
99496 Transitional care management services for problem of high complexity	13	13	$366.00	$114.39

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	432	205	$205.20	$86.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	169	169	$370.00	$49.61
99213 Established patient office or other outpatient visit, typically 15 minutes	67	61	$145.00	$67.97
G0008 Administration of influenza virus vaccine	62	61	$75.00	$32.05
90662 Influenza vaccine split virus, preservative free	59	58	$110.00	$71.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	42	$290.00	$97.47
36415 Insertion of needle into vein for collection of blood sample	23	15	$20.00	$8.40
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$80.00	$15.14
81002 Urinalysis, manual test	16	14	$20.00	$3.41

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	460	201	$231.49	$88.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$370.00	$49.29
G0008 Administration of influenza virus vaccine	61	61	$75.00	$31.41
90662 Influenza vaccine split virus, preservative free	59	59	$110.00	$68.54
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$168.65	$76.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$314.38	$101.66
99442 Telephone medical discussion with physician, 11-20 minutes	28	23	$195.00	$95.08
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$80.00	$15.28
81002 Urinalysis, manual test	17	16	$20.00	$3.43
99441 Telephone medical discussion with physician, 5-10 minutes	17	17	$115.00	$59.94
96127 Assessment of emotional or behavioral problems	15	15	$50.00	$5.29
82270 Stool analysis for blood to screen for colon tumors	15	15	$20.00	$4.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$240.00	$75.82
G0444 Annual depression screening, 5 to 15 minutes	11	11	$50.00	$19.88

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	549	207	$165.32	$139.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$370.00	$143.19
G0008 Administration of influenza virus vaccine	80	80	$75.00	$18.20
90662 Influenza vaccine split virus, preservative free	78	78	$110.00	$65.26
99213 Established patient office or other outpatient visit, typically 15 minutes	53	47	$110.00	$98.81
99441 Telephone medical discussion with physician, 5-10 minutes	39	36	$115.00	$60.98
36415 Insertion of needle into vein for collection of blood sample	39	27	$20.00	$3.00
99442 Telephone medical discussion with physician, 11-20 minutes	36	31	$195.00	$99.18
82272 Stool analysis for blood	27	27	$20.00	$4.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$225.00	$195.40
96127 Assessment of emotional or behavioral problems	23	23	$50.00	$5.39
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$80.00	$16.14
81002 Urinalysis, manual test	22	19	$20.00	$3.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$240.00	$180.90
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$315.00	$239.31

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	296	151	$165.00	$117.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$370.00	$125.71
G0008 Administration of influenza virus vaccine	103	101	$75.00	$17.96
90662 Influenza vaccine split virus, preservative free	97	95	$110.00	$60.60
99213 Established patient office or other outpatient visit, typically 15 minutes	73	61	$110.00	$81.27
99442 Telephone medical discussion with physician, 11-20 minutes	52	45	$154.13	$77.73
99441 Telephone medical discussion with physician, 5-10 minutes	34	30	$97.35	$47.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	23	$225.00	$158.12
36415 Insertion of needle into vein for collection of blood sample	21	18	$20.00	$2.98
G0009 Administration of pneumococcal vaccine	21	20	$85.00	$17.84
99443 Telephone medical discussion with physician, 21-30 minutes	21	21	$202.14	$112.03
82272 Stool analysis for blood	19	19	$20.00	$4.21
81002 Urinalysis, manual test	16	11	$20.00	$3.44
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$80.00	$18.68
90670 Pneumococcal vaccine for injection into muscle	14	14	$400.00	$220.24
G0444 Annual depression screening, 5 to 15 minutes	11	11	$50.00	$19.50

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	469	190	$165.00	$115.86
99213 Established patient office or other outpatient visit, typically 15 minutes	250	167	$110.00	$79.41
G0008 Administration of influenza virus vaccine	110	109	$68.32	$17.62
90662 Influenza vaccine split virus, preservative free	104	103	$110.00	$54.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$370.00	$124.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	29	$225.00	$155.45
81002 Urinalysis, manual test	26	23	$20.00	$3.41
36415 Insertion of needle into vein for collection of blood sample	22	19	$20.00	$2.94
G0444 Annual depression screening, 5 to 15 minutes	22	22	$50.00	$19.35
96127 Assessment of emotional or behavioral problems	17	17	$32.35	$5.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$85.00	$48.43
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$80.00	$18.21
G0009 Administration of pneumococcal vaccine	14	14	$85.00	$17.62
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$240.00	$183.03

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	437	166	$165.00	$110.58
99213 Established patient office or other outpatient visit, typically 15 minutes	173	126	$110.00	$75.15
G0008 Administration of influenza virus vaccine	104	101	$40.00	$21.78
90662 Influenza vaccine split virus, preservative free	97	94	$110.00	$52.12
G0444 Annual depression screening, 5 to 15 minutes	94	94	$50.00	$18.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	57	$225.00	$149.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$370.00	$120.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	37	37	$240.00	$175.84
81002 Urinalysis, manual test	28	23	$20.00	$3.29
99496 Transitional care management services for problem of high complexity	22	18	$366.00	$239.10
36415 Insertion of needle into vein for collection of blood sample	20	14	$20.00	$2.94
G0009 Administration of pneumococcal vaccine	17	17	$85.00	$21.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$315.00	$214.06

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	498	192	$157.62	$113.59
99213 Established patient office or other outpatient visit, typically 15 minutes	181	134	$118.45	$77.51
G0008 Administration of influenza virus vaccine	90	89	$40.00	$27.11
90662 Influenza vaccine split virus, preservative free	84	84	$110.00	$48.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	41	$224.42	$152.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$166.65	$121.94
36415 Insertion of needle into vein for collection of blood sample	36	28	$14.89	$2.94
96127 Assessment of emotional or behavioral problems	35	35	$24.86	$6.19
G0444 Annual depression screening, 5 to 15 minutes	29	29	$50.00	$19.10
81002 Urinalysis, manual test	29	23	$12.24	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$67.27	$18.18

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD016235E

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

Medicaid State Provider ID

000636928 (PA)

Commercial Insurance / Payer ID Pennsylvania Blue Shield

001435061

Commercial Insurance / Payer ID Keystone Health Plan East

21198960001

Commercial Insurance / Payer ID Keystone Health Plan E 65

21198960001

Commercial Insurance / Payer ID Keystone Liaison

21198960001

Commercial Insurance / Payer ID Personal Choice 65

001435061

Commercial Insurance / Payer ID Amerihealth Hmo

2119896001

Commercial Insurance / Payer ID Amerihealth Administrator

2119896001

Commercial Insurance / Payer ID Mamal

470888939

Commercial Insurance / Payer ID Aetna Hmo

007302

Hospital & Practice Group Affiliations

Via Affiliates

310 Farm Ln, Doylestown, PA 189014732

Phone: 2153481990

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Andrew Krick , MD

Internal Medicine

NPI 1003880352

Doctor of Medicine (M.D.)

Anne Huy , CRNP

Nurse Practitioner - Family

NPI 1194772137

Certified Registered Nurse Practitioner

Katie Dubiel , PA-C

Physician Assistant

NPI 1205887494

Physician Assistant (Certified)

Dr. Sean De Boer , MD

Internal Medicine

NPI 1265961486

Doctor of Medicine (M.D.)

Jacqueline Cunning , PA-C

Clinical Nurse Specialist - Adult Health

NPI 1336192004

Physician Assistant (Certified)

Dr. Sneh Patel , MD

Family Medicine

NPI 1447511043

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2017

Registered at 310 FARM LANE, DOYLESTOWN, PA 189014732 (Tel: 2153483990)

📍

Updated Business Mailing Address February 17, 2017

Registered at 310 FARM LN, DOYLESTOWN, PA 189014732 (Tel: 2153483990)

👤

Provider Name / Credentials Updated February 17, 2017

Recorded as JON WALHEIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2017

Internal Medicine (License #MD016235E in PA)

✅

NPI Profile Active November 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2009

Registered at 310 FARM LN, DOYLESTOWN, PA 189014732 (Tel: 2153483990)

📍

Updated Business Mailing Address November 03, 2009

Registered at 310 FARM LN, DOYLESTOWN, PA 189014732 (Tel: 2153483990)

👤

Provider Name / Credentials Updated November 03, 2009

Recorded as JON WALHEIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2009

Internal Medicine (License #MD016235E in PA)

🟢

Initial NPI Registration & Enumeration March 14, 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: 1801864004

Entity Type:

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

Enumeration Date: March 14, 2006

Last Update: February 17, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

310 Farm Ln

Doylestown, PA 189014732

Phone: 2153483990

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

⚠️ Medical Disclaimer

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