DR. GEORGE ALFRED WENNERBERG JR. M.D.
NPI 1659666717
Internal Medicine in Port Orange, FL

Q: What is George Wennerberg's NPI number?

The NPI number for George Wennerberg is 1659666717. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Q: What is George Wennerberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for George Wennerberg was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 16, 2011PECOS Enrolled

5821 S WILLIAMSON BLVD STE 204, PORT ORANGE, FL 32128(386) 231-6300 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Apr 15, 2026, Aug 12, 2025 and 1 more (4 updates tracked since 2020).

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About Dr. George Alfred Wennerberg Jr. M.d. NPPES

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

DR. GEORGE ALFRED WENNERBERG JR. M.D. (NPI 1659666717) is an individual internal medicine provider in Port Orange, Florida, licensed in Florida (ME181118) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Loma Linda University School Of Medicine (2011).

NPPES Registry Identity

NPI1659666717

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. GEORGE ALFRED WENNERBERG JR.Credential: M.D.

Location Address5821 S WILLIAMSON BLVD STE 204Port Orange, FL 32128-6102

Mailing Address5821 S Williamson Blvd Ste 204Port Orange, FL 32128-6102 · (386) 231-6300

Phone(386) 231-6300

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2011

Enumeration DateJune 16, 2011

Last NPPES UpdateMay 13, 20264 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1659666717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME181118✔ Licensed in TN · 74387

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.

5821 S WILLIAMSON BLVD STE 204, Port Orange, FL 32128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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. George Alfred Wennerberg Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567722804

PECOS Enrollment IDI20230908002860, I20250825001091

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 9

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.

79 services59 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

64 services64 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.

47 services47 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.

40 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

Park City Hospital

Acute Care Hospitals · Park City, UT

5/5 CMS rating

OwnershipProprietary

CMS Certification Number460057

Location900 Round Valley DrivePark City, UT 84060 · Summit County

Emergency services Birthing friendly

Heber Valley Hospital

Critical Access Hospitals · Heber City, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number461307

Location454 East Medical WayHeber City, UT 84032 · Wasatch County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32128 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.

Other Providers at the Same Location NPPES 7

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

MRS. YANELIS LEYVA MSN, FNP-BC

Nurse Practitioner (Family)