DR. JACK TODD WAHRENBERGER (M.D.) – Family Medicine Physician, NPI 1396740767

DR. JACK TODD WAHRENBERGER (M.D.) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD 050618 L (PA). The NPI Number for DR. JACK TODD WAHRENBERGER (M.D.) is 1396740767

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK TODD WAHRENBERGER (M.D.)
NPI
1396740767
Phone
(412) 697-3260
Address
249 S 9TH ST
Enumeration Date
14 June 2005
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
4126973260
Graduation Year
1991 (35 years ago)
PAC ID
1153230370
Group Practice PAC ID
9335042514
Professional Enrollment ID
I20090609000237
Address ID
PA152031265PI249XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for DR. JACK TODD WAHRENBERGER (M.D.)

  • 249, 9th Street, Downtown, Pittsburgh, Allegheny County, Pennsylvania, 15222, United States

    PITTSBURGH, PA 152031265

    Phone: (412) 697-3260

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090609000237IFamily PracticePATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes11560$0
99214Established patient office or other outpatient visit, 30-39 minutes7538$0
36415Insertion of needle into vein for collection of blood sample5142$0
90471Administration of vaccine2322$0
90480Admn sarscov2 vacc 1 dose1818$0
View full utilization report →

Insurance plans in this area (ZIP 15203)

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Provider's Procedures

DR. JACK TODD WAHRENBERGER (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEPA83036Hemoglobin A1C level10051
FAMILY MEDICINEPA90670Pneumococcal vaccine for injection into muscle1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335042514View full group profile
NameSpecialtyState
Mental Health CounselorPA
Mental Health CounselorPA
Nurse PractitionerPA
-PA
P S Y C H I A T R YPA
-PA
Clinical Social WorkerPA
Mental Health CounselorPA
P S Y C H I A T R YPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

What is DR. JACK TODD WAHRENBERGER (M.D.)'s NPI number?
DR. JACK TODD WAHRENBERGER (M.D.)'s NPI is 1396740767 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. JACK TODD WAHRENBERGER (M.D.)?
You should see DR. JACK TODD WAHRENBERGER (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. JACK TODD WAHRENBERGER (M.D.)?
DR. JACK TODD WAHRENBERGER (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JACK TODD WAHRENBERGER (M.D.) associated with Pittsburgh?
Public fields place DR. JACK TODD WAHRENBERGER (M.D.) around Pittsburgh, Pennsylvania. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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