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DR. WENDELL HAYDEN WILMOTH M.D.
NPI 1245499003
Radiology - Diagnostic Radiology in Kodiak, AK

Active since June 06, 2008PECOS Enrolled
1915 E REZANOF DR, KODIAK, AK 99615(907) 486-9581 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, May 27, 2025, Oct 12, 2018 (3 updates tracked since 2018).

About Dr. Wendell Hayden Wilmoth M.d. NPPES

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

DR. WENDELL HAYDEN WILMOTH M.D. (NPI 1245499003) is an individual diagnostic radiology provider in Kodiak, Alaska, licensed in Alaska (7852) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Carepoint Health-christ Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245499003
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. WENDELL HAYDEN WILMOTHCredential: M.D.
Location Address1915 E REZANOF DRKodiak, AK 99615-6602
Mailing AddressPo Box 10107Knoxville, TN 37939-0107 · (865) 584-7376 · Fax (865) 540-3856
Phone(907) 486-9581
Sole ProprietorYes
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2008
Enumeration DateJune 6, 2008
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1245499003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in AK · 7852✔ Licensed in TN · 75934
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1915 E REZANOF DR, Kodiak, AK 99615
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17211 Wellington Dr Ste 101Knoxville, TN 37919-5968 · Phone (865) 588-8005 ext. 44747 · Fax (865) 588-8005
Location 213813 Metro PkwyFort Myers, FL 33912-4343 · Phone (855) 674-4624

Other Identifiers 1

Medicaid1585319AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wendell Hayden Wilmoth M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123258746
PECOS Enrollment IDI20220308002578, I20230515000962, I20230620002519, I20230626001419, I20241031003078, I20250515000522, I20250725003033, I20250821005082, I20251128000027, I20260523000101, I20260526001391, I20260603002281
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.

Medicare Billing Reassignments

19

Medicare enrollment records show Wendell Wilmoth reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fanno Creek Clinic LLC
1,515 mi
Internal Medicine
2400 SW VERMONT ST
Portland, OR 97219
  • Reassigned Medicare billing, Oregon enrollment
  • 54 clinicians in this Medicare group
NPI 1609876705 (503) 452-0915
Northwest Medical Homes, LLC
1,572 mi
Family Medicine
2644 SUZANNE WAY
Eugene, OR 97408
  • Reassigned Medicare billing, Oregon enrollment
  • 36 clinicians in this Medicare group
NPI 1174053094 (541) 747-4300
Family First Medical Center, PLLC
1,991 mi
Family Medicine
3614 WASHINGTON PKWY
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 25 clinicians in this Medicare group
NPI 1033314273 (208) 552-7700
Southwest Medical Associates, Inc
2,259 mi
Internal Medicine
888 S RANCHO DR
Las Vegas, NV 89106
  • Reassigned Medicare billing, Washington enrollment
  • 5 clinicians in this Medicare group
NPI 1659346005 (702) 877-8600
Knd Development 59 LLC
2,303 mi
Hospitalist
200 HOSPITAL CIR
Westminster, CA 92683
NPI 1013246180 (714) 893-4541
Optumcare Colorado Medical Group LLC
2,480 mi
General Practice
1633 MEDICAL CENTER PT
Colorado Springs, CO 80907
  • Reassigned Medicare billing, Washington enrollment
NPI 1407252828 (719) 463-5600
Greater Phoenix Collaborative Care PC
2,507 mi
Clinic/Center
8041 N BLACK CANYON HWY
Phoenix, AZ 85021
  • Reassigned Medicare billing, Washington enrollment
NPI 1750686614 (602) 249-0115
Miners Colfax Medical Center
2,596 mi
Critical Access
203 HOSPITAL DR
Raton, NM 87740
  • Reassigned Medicare billing, New Mexico enrollment
  • 51 clinicians in this Medicare group
NPI 1083931109 (575) 445-7720
Optumcare New Mexico LLC
2,614 mi
Family Medicine
2901 TRANSPORT ST SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, Washington enrollment
NPI 1124053210 (505) 262-7000
Concord Radiology PLLC
2,864 mi
Diagnostic Radiology
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, New Mexico enrollment
  • 17 clinicians in this Medicare group
NPI 1598260515 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
143 services133 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
33 services33 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
24 services24 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
18 services18 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
17 services16 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carepoint Health-Christ Hospital

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310016
Location176 Palisade AveJersey City, NJ 07306 · Hudson County

Carepoint Health - Bayonne Medical Center

Acute Care Hospitals · Bayonne, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310025
Location29 East 29th StBayonne, NJ 07002 · Hudson County

Carepoint Health-Hoboken University Medical Center

Acute Care Hospitals · Hoboken, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310040
Location308 Willow AveHoboken, NJ 07030 · Hudson County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99615 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
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.

PROVIDENCE HEALTH & SERVICES WASHINGTON
General Acute Care Hospital (Critical Access)
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-3281
GENE L ROBINSON MD
Surgery
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9580
MRS. ANN-MARIE WEST RN
Home Health
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9545
KODIAK LIFE DIAGNOSTIC IMAGING, INC
Clinic/Center (Radiology)
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 512-9559
PROVIDENCE HEALTH & SERVICES -WASHINGTON
Pharmacy (Institutional Pharmacy)
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9550
DR. STEPHANIE LOUISE HURLEY PHARMD
Pharmacist
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9550
MR. JOHN ARTHUR MCENTEE RPH
Pharmacist
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9549
CYNTHIA M PARENT
Nurse Anesthetist, Certified Registered
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 223-7513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wendell Wilmoth's NPI number?

The NPI number for Wendell Wilmoth is 1245499003. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Wendell Wilmoth located?

Wendell Wilmoth practices at 1915 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-9581.

What is Wendell Wilmoth's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Wendell Wilmoth enrolled in Medicare?

Yes. Wendell Wilmoth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wendell Wilmoth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendell Wilmoth reassigns Medicare benefits to 19 organizations: Fanno Creek Clinic LLC (Portland, OR), Northwest Medical Homes, LLC (Eugene, OR), Family First Medical Center, PLLC (Idaho Falls, ID), Southwest Medical Associates, Inc (Las Vegas, NV), Knd Development 59 LLC (Westminster, CA) and 14 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wendell Wilmoth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wendell Wilmoth accept?

Health plans from CareSource, Cigna Healthcare, Oscar Health Insurance and Premera Blue Cross Blue Shield of Alaska list Wendell Wilmoth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Wendell Wilmoth affiliated with any hospitals?

According to CMS data, Wendell Wilmoth is affiliated with Carepoint Health-Christ Hospital, Carepoint Health - Bayonne Medical Center and Carepoint Health-Hoboken University Medical Center.

When was this NPI record last updated?

The NPPES record for Wendell Wilmoth was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.