William Wertheim, M.D.
NPI 1174548200 · Internal Medicine Physician · East Setauket, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
William Wertheim, M.D. is a Internal Medicine Physician provider in East Setauket, NY (NPI 1174548200).
Provider details
- NPI number
- 1174548200
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 196934 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
201 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 130 | $150 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 36 | $107 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 18 | $17 |
| Administration of Pneumococcal VaccineG0009 | 17 | $37 |
Typical Medicare-allowed amounts for these services range $17–$150 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 93 | 35 |
| Amlodipine Besylate | 56 | 25 |
| Losartan Potassium | 30 | — |
| Metoprolol Succinate | 29 | 13 |
| Omeprazole | 24 | — |
| Lisinopril | 22 | — |
| Levothyroxine Sodium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is William Wertheim's NPI number?
- William Wertheim's National Provider Identifier (NPI) is 1174548200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is William Wertheim's specialty?
- William Wertheim is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is William Wertheim located?
- William Wertheim's practice location on file with NPPES is 205 N Belle Mead Rd, East Setauket, NY 11733.
- What is William Wertheim's phone number?
- The practice phone number listed in the NPPES registry for William Wertheim is (631) 444-4630.
- Does William Wertheim accept Medicare?
- William Wertheim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is William Wertheim's NPI active?
- Yes — William Wertheim's NPI (1174548200) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.