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Dr. David J Rathe , DO

Internal Medicine • Waverly, IA

Active NPI 1316926082 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

312 9th St Sw, Suite 1200
Waverly, IA 506772929

Call 3193524340 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

312 9th St Sw
Suite 1200

Waverly, IA 506772929

Telephone 3193524340
Fax 3193520745
Organization at the Same NPPES Address or Phone
Waverly Health Center Facility NPI 1326027988

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Iowa Physicians Clinic Medical Foundation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1987

Medicare patients

52 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $5,845 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $3,937 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

53 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$592 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

39 years (graduated 1987)

CMS Doctors and Clinicians data list 1987 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Rathe has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Rathe as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Waverly and Iowa

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 90% of clinicians listed under Internal Medicine in Iowa (2024, 349 clinicians with data). Median for this group: 756. Middle half: 286 to 2,320.

Too few clinicians listed under Internal Medicine in Waverly have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Iowa (2024, 349 clinicians with data). Median for this group: $68,034. Middle half: $24,894 to $145,727.

Too few clinicians listed under Internal Medicine in Waverly have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 90% of clinicians listed under Internal Medicine in Iowa (2024, 349 clinicians with data). Median for this group: $51,828. Middle half: $19,616 to $112,186.

Too few clinicians listed under Internal Medicine in Waverly have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Internal Medicine in Iowa (2024, 436 clinicians with data). Median for this group: 429. Middle half: 79 to 6,627.

Too few clinicians listed under Internal Medicine in Waverly have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 80% of clinicians listed under Internal Medicine in Iowa (2024, 436 clinicians with data). Median for this group: $31,354. Middle half: $1,023 to $491,542.

Too few clinicians listed under Internal Medicine in Waverly have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Internal Medicine with a practice address in Waverly, IA (871 in Iowa).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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
38 35 $238.58 $118.54
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
16 15 $168.25 $83.77

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Omeprazole Omeprazole 14 727 $71.11 —
Levothyroxine Sodium Levothyroxine Sodium 13 456 $207.56 —
Bupropion Xl Bupropion Hcl 12 366 $313.52 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES IA 02383

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.

Pediatrics - Sports Medicine

NUCC Taxonomy Code: 2080S0010X

License # reported to NPPES IA 02383

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Iowa State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1080994 (IA)
Medicaid ID
1316926082 (IA)
Other Identifier Rr Medicare
110126474 (IA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20100115000879

Enrollment State Jurisdiction

IA

PECOS Control ID

9133261936

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221644

Iowa Physicians Clinic Medical Foundation

2140 Logan Ave, Waterloo, IA 507031002

Iowa Physicians Clinic Medical Foundation

5100 Prairie Pkwy, Cedar Falls, IA 506138155

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
NPI 1992781793

Doctor of Medicine (M.D.)

NPI 1851378970

Doctor of Medicine (M.D.)

Dr. Jason Gipson , MD

Family Medicine

NPI 1740439769

Doctor of Medicine (M.D.)

NPI 1912343609

Doctor of Medicine (M.D.)

Scott Johnson , PA-C

Physician Assistant

NPI 1124006762

Physician Assistant (Certified)

Julie Leary , ARNP

Nurse Practitioner - Family

NPI 1922447275

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
âś…
NPI Profile Active May 16, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 16, 2012

Registered at 312 9TH ST SW, SUITE 1200, WAVERLY, IA 506772929 (Tel: 3193524340)

📍
Business Mailing Address (Initial Record) May 16, 2012

Registered at 312 9TH ST SW, SUITE 1200, WAVERLY, IA 506772929 (Tel: 3193524340)

👤
Provider Name / Credentials (Initial Record) May 16, 2012

Recorded as DAVID RATHE, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Internal Medicine (license number reported to NPPES: IA 02383)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Pediatrics (license number reported to NPPES: IA 02383)

🟢
Initial NPI Registration & Enumeration January 11, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316926082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2006
Last Update: May 16, 2012
Sole Proprietor: No

Mailing Address

312 9th St Sw, Suite 1200

Waverly, IA 506772929

Phone: 3193524340

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.