Doctor profile · Federal record
Dr. Jeffrey Wonoprabowo, M.D.
Internal Medicine Physician (CMS: Hospitalist) · Loma Linda, CA
- NPI 1629330436
- Accepts Medicare
- MIPS 76.4 / 100 · 2023
- 14 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11234 Anderson St, Gme Office Csp 21005
Loma Linda, CA 923501716
(909) 558-7263
fax (909) 558-0427
Credentials & registration
- NPI registered
- June 2012 — 14 yrs on file
- Profile last updated
- October 25, 2024
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- California #A126969
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629330436. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
785
Distinct HCPCS
8
Medicare allowed
$94,025
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 548 | 338 | $131 | |
G0008 |
Administration of influenza virus vaccine | 56 | 55 | $32 | |
90662 |
Influenza vaccine split virus, preservative free | 49 | 48 | $71 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 49 | 49 | $133 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 41 | 39 | $94 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 15 | 15 | $170 | |
G0009 |
Administration of pneumococcal vaccine | 14 | 14 | $32 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | 13 | $282 |
In context: peer comparison
Among 44 peers in Loma Linda Internal Medicine Physician, average services per provider: 98. This provider delivers 8.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
2,718
Patients
893
Total drug cost
$48,221
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 549 | 173 | $7,980 |
| Amlodipine Besylate | Generic | 303 | 101 | $2,544 |
| Levothyroxine Sodium | Generic | 232 | 69 | $4,343 |
| Metformin Hcl | Generic | 214 | 64 | $3,098 |
| Losartan Potassium | Generic | 180 | 59 | $3,077 |
| Gabapentin | Generic | 167 | 50 | $4,425 |
| Lisinopril | Generic | 157 | 52 | $1,796 |
| Tamsulosin Hcl | Generic | 146 | 46 | $4,910 |
| Omeprazole | Generic | 131 | 58 | $3,259 |
| Pantoprazole Sodium | Generic | 130 | 39 | $2,204 |
Frequently asked questions
What is Dr. Jeffrey Wonoprabowo's medical specialty?
Dr. Jeffrey Wonoprabowo practices Internal Medicine Physician in Loma Linda, CA.
Where does Dr. Jeffrey Wonoprabowo practice?
Dr. Jeffrey Wonoprabowo practices at 11234 Anderson St, Loma Linda, CA 923501716. Office phone: 9095587263.
What is Dr. Jeffrey Wonoprabowo's NPI?
Dr. Jeffrey Wonoprabowo's National Provider Identifier (NPI) is 1629330436, issued by NPPES.
Does Dr. Jeffrey Wonoprabowo accept Medicare assignment?
Yes. Dr. Jeffrey Wonoprabowo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jeffrey Wonoprabowo commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Administration of influenza virus vaccine (HCPCS G0008); Influenza vaccine split virus, preservative free (HCPCS 90662). Source: CMS Medicare Physician & Other Practitioners file.