CAROLINE LEE WALLNER (M.D.) – Urology Physician, NPI 1114169760
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,307 UROLOGY in CA
Provider Addresses for CAROLINE LEE WALLNER (M.D.)
1260 15th St Ste 1200
Santa Monica, CA 904041147
Phone: (310) 451-8751
Fax: (310) 394-5302
Type: Location
200 Medical Plz
Suite 140
Los Angeles, CA 900950001
Phone: (310) 794-6584
Fax: (310) 794-3513
Type: Location
5767, West Century Boulevard, Westchester, Los Angeles, Los Angeles County, California, 90045, United States
SUITE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
2625 W ALAMEDA AVE STE 310
BURBANK, CA 915054819
Phone: (310) 794-7700
Fax: (818) 260-8718
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $983.
Total Amount is formed as General ($983) + Research ($0) + Ownership ($0) = $983.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($406).
Total Amount
$983
General + Research + Ownership
Payments
23
Total payment records
General Amount
$983
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-06-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150625002254 | I | Urology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 542 | 358 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 496 | 336 | $0 |
| 81002 | Urinalysis, manual test | 284 | 214 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 175 | 175 | $0 |
| 51741 | Electronic assessment of bladder emptying | 136 | 114 | $0 |
Insurance plans in this area (ZIP 90404)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA |
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