Doctor profile · Federal record
Dr. Wibisono Hartojo, MD
Internal Medicine Physician (CMS: Hospitalist) · Internal Medicine Physician · Falls Church, VA
- NPI 1487883740
- Accepts Medicare
- MIPS 80.6 / 100 · 2023
- 25 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3300 Gallows RD
Falls Church, VA 220423307
(703) 776-4401
fax (703) 776-7113 - Additional location
-
777 Hemlock St, MSC #69
Macon, GA 312012102
(478) 633-1700
fax (478) 633-7032
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Profile last updated
- May 10, 2021
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State licenses (2)
- Virginia #0101251159 · Georgia #003711
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1487883740. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
671
Distinct HCPCS
4
Medicare allowed
$112,740
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 597 | 556 | $170 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 43 | 42 | $128 | |
99235 |
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes | 18 | 18 | $157 | |
99236 |
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes | 13 | 13 | $203 |
In context: peer comparison
Among 63 peers in this city , average services per provider: 131. This provider delivers 5.1× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Wibisono Hartojo's medical specialty?
Dr. Wibisono Hartojo practices Internal Medicine Physician in Falls Church, VA.
Where does Dr. Wibisono Hartojo practice?
Dr. Wibisono Hartojo practices at 3300 Gallows RD, Falls Church, VA 220423307. Office phone: 7037764401.
What is Dr. Wibisono Hartojo's NPI?
Dr. Wibisono Hartojo's National Provider Identifier (NPI) is 1487883740, issued by NPPES.
Does Dr. Wibisono Hartojo accept Medicare assignment?
Yes. Dr. Wibisono Hartojo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Wibisono Hartojo commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with moderate level of medical decision making (HCPCS 99223); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Initial hospital care with same-day admission and discharge with moderate level of medical decision making (HCPCS 99235). Source: CMS Medicare Physician & Other Practitioners file.