DR. ETHAN RILEY WOODCOCK MD
NPI 1114611233
Family Medicine in Wichita, KS

Q: What is Ethan Woodcock's NPI number?

The NPI number for Ethan Woodcock is 1114611233. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Q: What is Ethan Woodcock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Woodcock was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2023PECOS Enrolled

1010 N KANSAS ST, WICHITA, KS 67214(316) 293-2665 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Ethan Riley Woodcock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN RILEY WOODCOCK MD (NPI 1114611233) is an individual family medicine provider in Wichita, Kansas, licensed in Kansas (94-11533) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114611233

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ETHAN RILEY WOODCOCKCredential: MD

Location Address1010 N KANSAS STWichita, KS 67214-3124

Mailing Address1010 N Kansas StWichita, KS 67214-3124

Phone(316) 293-2665

Sole ProprietorNo

Enumeration DateJune 5, 2023

NPPES CertifiedJune 3, 2023

✔ NPI 1114611233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 94-11533

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1010 N KANSAS ST, Wichita, KS 67214

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Riley Woodcock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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