Wibisono Hartojo, MD
NPI 1487883740 · Internal Medicine Physician · Falls Church, VA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wibisono Hartojo, MD is a Internal Medicine Physician provider in Falls Church, VA (NPI 1487883740).
Provider details
- NPI number
- 1487883740
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 003711 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
642 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 580 | $166 |
| Initial Hospital Care With Same-Day Admission and Discharge With High Level of Medical Decision Making, Per Day, If Using Time, at Least 85 Minutes99236 | 26 | $200 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 22 | $125 |
| Critical Care, First 30-74 Minutes99291 | 14 | $203 |
Typical Medicare-allowed amounts for these services range $125–$203 (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.
Practice location
Mailing address
Additional practice locations (1)
- 777 Hemlock StMsc #69Macon, GA 31201-2102Phone: (478) 633-1700Fax: (478) 633-7032
Registry dates
- Enumerated
- 2009-07-08
- Last updated
- 2021-05-10
- Certified
- 2021-05-10
Frequently asked questions
- What is Wibisono Hartojo's NPI number?
- Wibisono Hartojo's National Provider Identifier (NPI) is 1487883740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wibisono Hartojo's specialty?
- Wibisono Hartojo is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wibisono Hartojo located?
- Wibisono Hartojo's practice location on file with NPPES is 3300 Gallows Rd, Falls Church, VA 22042-3307.
- What is Wibisono Hartojo's phone number?
- The practice phone number listed in the NPPES registry for Wibisono Hartojo is (703) 776-4401.
- Does Wibisono Hartojo accept Medicare?
- Wibisono Hartojo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wibisono Hartojo's NPI active?
- Yes — Wibisono Hartojo's NPI (1487883740) is active in the NPPES registry as of the last update on 2021-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.