Jon Walheim, MD
NPI 1801864004 · Internal Medicine Physician · Doylestown, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jon Walheim, MD is a Internal Medicine Physician provider in Doylestown, PA (NPI 1801864004).
Provider details
- NPI number
- 1801864004
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD016235E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,176 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 447 | $82 |
| 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'SG2211 | 393 | $17 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 145 | $48 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 72 | $71 |
| Administration of Influenza Virus VaccineG0008 | 48 | $33 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 95 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 303 | 82 |
| Metoprolol Succinate | 220 | 48 |
| Lisinopril | 207 | 55 |
| Levothyroxine Sodium | 197 | 48 |
| Omeprazole | 194 | 42 |
| Hydrochlorothiazide | 172 | 41 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$363 across 19 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2017-02-17
Frequently asked questions
- What is Jon Walheim's NPI number?
- Jon Walheim's National Provider Identifier (NPI) is 1801864004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jon Walheim's specialty?
- Jon Walheim is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jon Walheim located?
- Jon Walheim's practice location on file with NPPES is 310 Farm Lane, Doylestown, PA 18901-4732.
- What is Jon Walheim's phone number?
- The practice phone number listed in the NPPES registry for Jon Walheim is (215) 348-3990.
- Does Jon Walheim accept Medicare?
- Jon Walheim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jon Walheim's NPI active?
- Yes — Jon Walheim's NPI (1801864004) is active in the NPPES registry as of the last update on 2017-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.