DR. WAYNE E. CAMPBELL M.D.
NPI 1417926577
Internal Medicine in Crestview, FL

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
98.88/100
CMS Quality Rating
550 REDSTONE AVE W, SUITE 200, CRESTVIEW, FL 32536(850) 682-6122(850) 682-5917 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Wayne E. Campbell M.d. NPPES

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

DR. WAYNE E. CAMPBELL M.D. (NPI 1417926577) is an individual internal medicine provider in Crestview, Florida, licensed in Florida (ME30203) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of University Of Florida College Of Medicine (1973).

NPPES Registry Identity

NPI1417926577
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WAYNE E. CAMPBELLCredential: M.D.
Location Address550 REDSTONE AVE W, SUITE 200Crestview, FL 32536-6430
Mailing AddressPo Box 2699Pensacola, FL 32513-2699
Fax(850) 682-5917
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1973
Enumeration DateMarch 14, 2006
Last NPPES UpdateJune 24, 2010
NPI 1417926577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME30203
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
550 REDSTONE AVE W, Crestview, FL 32536

Other Identifiers 3

Medicare ID-Type Unspecified46108ZFL
Medicaid058717600FL
Medicare UPINC73128FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Wayne E. Campbell M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103828975
PECOS Enrollment IDI20070207000324
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
842 services410 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
238 services165 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
222 services222 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
71 services71 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
24 services19 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
24 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100054
Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County
Emergency services

North Okaloosa Medical Center

Acute Care Hospitals · Crestview, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100122
Location151 Redstone Ave SECrestview, FL 32539 · Okaloosa County
Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32536 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.68
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
67%372 patients3/55-star benchmark: 93%
Cervical Cancer Screening
45%190 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
82%827 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
82%750 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
44%265 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%265 patients4/55-star benchmark: 91%
Falls: Screening for Future Fall Risk
99%744 patients4/55-star benchmark: 100%
HIV Screening
5%681 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
91%1,369 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
96%996 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%1,296 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,214 patients
Patients screened: 100% · 1,214 patients
96%198 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%501 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers69 claims187 services$6.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers25 claims37 services$1.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers18 claims18 services$80.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims45 services$33.76 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers22 claims22 services$56.04 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers23 claims23 services$16.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
550 REDSTONE AVE W, SUITE 470
CRESTVIEW, FL 32536
Specialist/Technologist (Athletic Trainer)
550 REDSTONE AVE W
CRESTVIEW, FL 32536
Family Medicine
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Physician Assistant
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Family Medicine
550 REDSTONE AVE W, SUITE 200
CRESTVIEW, FL 32536
Obstetrics & Gynecology
550 REDSTONE AVE W, SUITE 470
CRESTVIEW, FL 32536
Student in an Organized Health Care Education/Training Program
550 REDSTONE AVE W
CRESTVIEW, FL 32536
Physical Therapist
550 REDSTONE AVE W, SUITE 390
CRESTVIEW, FL 32536

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 Wayne Campbell's NPI number?

The NPI number for Wayne Campbell is 1417926577. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Wayne Campbell located?

Wayne Campbell practices at 550 Redstone Ave W Suite 200, Crestview, FL 32536. The listed phone number is (850) 682-6122.

What is Wayne Campbell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wayne Campbell enrolled in Medicare?

Yes. Wayne Campbell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Wayne Campbell accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Wayne Campbell 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 Wayne Campbell affiliated with any hospitals?

According to CMS data, Wayne Campbell is affiliated with Sacred Heart Hospital, Hca Florida Twin Cities Hospital, North Okaloosa Medical Center and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Wayne Campbell was last updated on June 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.