DR. LARRY L WELLENDORF II MD
NPI 1790798593
Family Medicine in Coeur D Alene, ID
About Dr. Larry L Wellendorf Ii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LARRY L WELLENDORF II MD (NPI 1790798593) is an individual family medicine provider in Coeur D Alene, Idaho, licensed in Idaho (MC-2626) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Larry L Wellendorf Ii Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Larry Wellendorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- 562 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Larry Wellendorf's NPI number?
The NPI number for Larry Wellendorf is 1790798593. It was assigned to this individual provider in the NPPES registry on August 14, 2006.
Where is Larry Wellendorf located?
Larry Wellendorf practices at 2236 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814. The listed phone number is (208) 625-3670.
What is Larry Wellendorf's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Larry Wellendorf enrolled in Medicare?
Yes. Larry Wellendorf 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.
Which organization bills Medicare for Larry Wellendorf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larry Wellendorf reassigns Medicare benefits to Orthomidwest, PLLC (Rockford, IL). The 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 Larry Wellendorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Larry Wellendorf was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Larry L Wellendorf II, MD · NPI 1790798593
Family Medicine physician in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since August 14, 2006.
## Identity
- **NPI:** 1790798593 (Entity type: Individual)
- **Enumerated:** August 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MC-2626 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 2236 N MERRITT CREEK LOOP STE A, Coeur D Alene, ID 83814-4960
- **Phone:** (208) 625-3670 · **Fax:** (208) 625-3675
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Orthomidwest, PLLC (NPI 1730136474, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** July 25, 2025
- **Other identifiers:** Medicaid 036091551 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1790798593) · Data from the CMS NPPES public registry.