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DR. LARRY L WELLENDORF II MD
NPI 1790798593
Family Medicine in Coeur D Alene, ID

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
70.99/100
CMS Quality Rating
2236 N MERRITT CREEK LOOP STE A, COEUR D ALENE, ID 83814(208) 625-3670(208) 625-3675 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2025, Jun 12, 2023, Dec 20, 2021 and 4 more (7 updates tracked since 2016).

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 and is a graduate of Other (1993).

NPPES Registry Identity

NPI1790798593
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LARRY L WELLENDORF IICredential: MD
Location Address2236 N MERRITT CREEK LOOP STE ACoeur D Alene, ID 83814-4960
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5084
Phone(208) 625-3670
Fax(208) 625-3675
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 25, 20257 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1790798593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · MC-2626✔ Licensed in IL · 036091551
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2236 N MERRITT CREEK LOOP STE A, Coeur D Alene, ID 83814
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Other Identifiers 1

Medicaid036091551IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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. 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.

PECOS PAC ID8325945496
PECOS Enrollment IDI20240327003369
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

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.

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.
13 services13 patients

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.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

70.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61
Promoting Interoperability74
Improvement Activities40
Cost63.98

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.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
3 suppliers13 claims13 services$211.95 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 2

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

JOHANNA GOLKE PA-C
Physician Assistant
2236 N MERRITT CREEK LOOP STE A
COEUR D ALENE, ID 83814
Kootenai County (208) 625-3800
MICHAEL RABER
Neurological Surgery
2236 N MERRITT CREEK LOOP STE A
COEUR D ALENE, ID 83814
Kootenai County (208) 625-3800

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.

What insurance does Larry Wellendorf accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Larry Wellendorf 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.

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 12 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.