CARL FRANK WENTZEL III M.D.
NPI 1700813813
Emergency Medicine in Suffolk, VA

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
81.88/100
CMS Quality Rating
5818 HARBOUR VIEW BLVD, SUFFOLK, VA 23435(757) 673-5800 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carl Frank Wentzel Iii M.d. NPPES

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

CARL FRANK WENTZEL III M.D. (NPI 1700813813) is an individual emergency medicine provider in Suffolk, Virginia, licensed in Virginia (0101047910) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1700813813
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCARL FRANK WENTZEL IIICredential: M.D.
Location Address5818 HARBOUR VIEW BLVDSuffolk, VA 23435-3315
Mailing AddressPo Box 634706Cincinnati, OH 45263-0001 · (865) 292-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 26, 2006
Last NPPES UpdateNovember 7, 2007
NPI 1700813813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in VA · 0101047910
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5818 HARBOUR VIEW BLVD, Suffolk, VA 23435

Other Identifiers 4

Medicare PIN010946S46VA
OtherP00343469VA · Railroad Medicare
Medicare UPINF27085
Medicaid1700813813VA

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

Carl Frank Wentzel Iii 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 ID1355347543
PECOS Enrollment IDI20061011000375
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
126 services117 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
73 services73 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
55 services53 patients

Hospital Affiliations CMS Care Compare

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

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23435 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

81.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.91
Promoting Interoperability100
Improvement Activities40
Cost64.69

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.

Clinic/Center (Ambulatory Surgical)
5818 HARBOUR VIEW BLVD
SUFFOLK, VA 23435
Nurse Anesthetist, Certified Registered
5818 HARBOUR VIEW BLVD, SUITE 240
SUFFOLK, VA 23435
Surgery (Vascular Surgery)
5818 HARBOUR VIEW BLVD, STE 240
SUFFOLK, VA 23435
Plastic Surgery
5818 HARBOUR VIEW BLVD, SUITE 220
SUFFOLK, VA 23435
Nurse Anesthetist, Certified Registered
5818 HARBOUR VIEW BLVD, SUITE 240
SUFFOLK, VA 23435
Nurse Practitioner (Family)
5818 HARBOUR VIEW BLVD, STE 240
SUFFOLK, VA 23435
Physical Therapy Assistant
5818 HARBOUR VIEW BLVD
SUFFOLK, VA 23435
Otolaryngology
5818 HARBOUR VIEW BLVD, SUITE 230
SUFFOLK, VA 23435

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 Carl Wentzel's NPI number?

The NPI number for Carl Wentzel is 1700813813. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Carl Wentzel located?

Carl Wentzel practices at 5818 Harbour View Blvd, Suffolk, VA 23435. The listed phone number is (757) 673-5800.

What is Carl Wentzel's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carl Wentzel enrolled in Medicare?

Yes. Carl Wentzel 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 Carl Wentzel accept?

Health plans from Oscar Insurance Company list Carl Wentzel 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 Carl Wentzel affiliated with any hospitals?

According to CMS data, Carl Wentzel is affiliated with Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carl Wentzel was last updated on November 7, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.