Active NPI 1033129697 Individual Practitioner Male Practitioner

Dr. James M Waltenberger , MD

Surgery • Mount Pleasant, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Waltenberger, MD is a certified Surgery practicing in Mount Pleasant, WI. With approximately 28 years of clinical experience since graduating from Medical College Of Wisconsin in 1998, Dr. Waltenberger delivers high-quality medical care to the local community at 13250 WASHINGTON AVE.

Dr. Waltenberger is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital inpatient care per day, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13250 Washington Ave

Mount Pleasant, WI 531771516

Telephone 8887202012

Associated Practice Facility / Clinic

🏢 Aurora Medical Group, Inc Facility NPI 1497406821

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mount Pleasant, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +4.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Mount Pleasant, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waltenberger (28 Years) 28 Yrs

Mount Pleasant Specialty Average (23.6 Years) 23.6 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	31	$245.00	$43.68
99221 Initial hospital inpatient care per day, typically 30 minutes	41	40	$455.00	$73.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$510.00	$103.80
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$350.00	$67.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$240.00	$52.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	79	31	$210.37	$41.44
99221 Initial hospital inpatient care per day, typically 30 minutes	46	44	$406.24	$74.86
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$335.00	$69.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	21	$94.15	$36.40
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	50	13	$179.46	$34.30
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$242.87	$93.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$307.86	$128.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$58.78	$34.36
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$127.80	$63.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	18	$89.53	$36.77
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$233.04	$95.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$293.32	$130.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$212.20	$95.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$55.37	$34.66
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$121.88	$64.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	105	27	$86.20	$38.23
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$222.75	$98.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$52.24	$24.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$179.77	$73.51
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$115.54	$50.03
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	11	$279.40	$31.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$191.99	$77.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	25	$83.14	$38.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$167.11	$73.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	32	$51.55	$24.67
99221 Initial hospital inpatient care per day, typically 30 minutes	33	31	$206.45	$97.32
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	31	14	$178.19	$31.72
36471 Injection of chemical agent into multiple incompetent veins of leg	24	11	$521.13	$78.82
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$105.38	$49.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$194.22	$76.60
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	18	11	$1152.00	$159.48
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	13	$77.73	$21.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	23	$80.97	$37.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$177.57	$72.49
99221 Initial hospital inpatient care per day, typically 30 minutes	32	31	$198.19	$96.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$57.00	$24.32
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$111.88	$49.14
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	21	13	$426.62	$211.27
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	12	$65.65	$31.56
36471 Injection of chemical agent into multiple incompetent veins of leg	19	11	$186.95	$86.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$177.27	$75.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	75	37	$80.00	$37.62
99221 Initial hospital inpatient care per day, typically 30 minutes	39	38	$195.00	$96.61
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$110.00	$49.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$175.00	$72.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$56.00	$24.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$175.00	$75.56
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$114.00	$48.38

Medical Specialties & State Licenses

CMS Verified: 2023-07-03

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 45831

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

34406900 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

13250 Washington Ave, Mount Pleasant, WI 531771516

Phone: 2628844000

Secondary Practice Locations

3811 Spring St, Suite 201

Racine, WI 534051667

Phone: 2626875800

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Donna Hemphill , MD

Obstetrics & Gynecology

NPI 1033226642

Doctor of Medicine (M.D.)

Sarah Kordus , NP

Nurse Practitioner

NPI 1154872497

Nurse Practitioner

Dr. Michael Mitchell , MD

Psychiatry & Neurology - Neurology

NPI 1164501771

Doctor of Medicine (M.D.)

Dr. Dajun Wang , MD

Internal Medicine - Interventional Cardiology

NPI 1174847867

Doctor of Medicine (M.D.)

Meghan Samson

Nurse Practitioner

NPI 1205453404

Dr. Steven Ryder , MD

Surgery

NPI 1295759165

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 03, 2023

Registered at 13250 WASHINGTON AVE, MOUNT PLEASANT, WI 531771516 (Tel: 8887202012)

📍

Updated Business Mailing Address July 03, 2023

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8887202012)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3811 SPRING ST, SUITE 201, RACINE, WI 534051667 (Tel: 2626875800)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3811 SPRING ST, SUITE 201, RACINE, WI 534051667 (Tel: 2626875800)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES WALTENBERGER, MD

🎓

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

Surgery (License #45831 in WI)

🟢

Initial NPI Registration & Enumeration August 08, 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: 1033129697

Entity Type:

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

Enumeration Date: August 08, 2006

Last Update: July 03, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8887202012

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.