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DR. PETER H WAYNE III M.D.
NPI 1679596175
Radiology - Diagnostic Radiology in Louisville, KY

Active since July 25, 2006PECOS Enrolled
4003 KRESGE WAY STE 300, LOUISVILLE, KY 40207(502) 897-5139(502) 638-4794 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter H Wayne Iii M.d. NPPES

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

DR. PETER H WAYNE III M.D. (NPI 1679596175) is an individual diagnostic radiology provider in Louisville, Kentucky, licensed in Kentucky (18914) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679596175
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PETER H WAYNE IIICredential: M.D.
Location Address4003 KRESGE WAY STE 300Louisville, KY 40207-4652
Mailing Address4003 Kresge Way Ste 300, Suite 100Louisville, KY 40207-4652 · (502) 897-5139 · Fax (502) 638-4794
Phone(502) 897-5139
Fax(502) 638-4794
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 17, 2015
✔ NPI 1679596175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in KY · 18914
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4003 KRESGE WAY STE 300, Louisville, KY 40207
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Other Identifiers 3

Medicaid64189145KY
Medicare UPINC69715KY
Medicare PINK023041KY

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. Peter H Wayne Iii M.d. 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 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 12

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

GLENDA RENEE PHILLIPS APRN
Nurse Practitioner (Family)
4003 KRESGE WAY STE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
DR. BRADLEY GLYNN THOMAS MD
Surgery (Vascular Surgery)
4003 KRESGE WAY STE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
CHARISSA L HALLMAN APRN
Nurse Practitioner
4003 KRESGE WAY STE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
MEGAN MARIE KAISER
Specialist/Technologist, Other (Surgical Assistant)
4003 KRESGE WAY STE 300
ST MATTHEWS, KY 40207
Jefferson County (502) 897-5139
DR. MATTHEW T JUNG M.D.
Surgery (Vascular Surgery)
4003 KRESGE WAY STE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
ANTHONY LEONARD GRZEDA MD
Surgery (Vascular Surgery)
4003 KRESGE WAY STE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
ASHLEE ANN VINYARD M.D.
Surgery (Vascular Surgery)
4003 KRESGE WAY STE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139
KAREN COVINGTON CFA
Specialist/Technologist, Other (Surgical Assistant)
4003 KRESGE WAY STE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-5139

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 Peter Wayne's NPI number?

The NPI number for Peter Wayne is 1679596175. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Peter Wayne located?

Peter Wayne practices at 4003 Kresge Way Ste 300, Louisville, KY 40207. The listed phone number is (502) 897-5139.

What is Peter Wayne's specialty?

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

Is Peter Wayne enrolled in Medicare?

Yes. Peter Wayne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Wayne was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.