KENDALL WHITFIELD WANNAMAKER JR. M.D.
NPI 1962882886
Ophthalmology in Southern Pines, NC

Active since June 05, 2015PECOS EnrolledAccepts Medicare Assignment
77.62/100
CMS Quality Rating
2170 MIDLAND RD, SOUTHERN PINES, NC 28387(910) 295-2100(910) 295-3625 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2022, Apr 22, 2022, Jul 8, 2021 and 1 more (4 updates tracked since 2019).

About Kendall Whitfield Wannamaker Jr. M.d. NPPES

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

KENDALL WHITFIELD WANNAMAKER JR. M.D. (NPI 1962882886) is an individual ophthalmology provider in Southern Pines, North Carolina, licensed in North Carolina (2021-01183) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962882886
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKENDALL WHITFIELD WANNAMAKER JR.Credential: M.D.
Location Address2170 MIDLAND RDSouthern Pines, NC 28387-2927
Mailing Address2170 Midland RdSouthern Pines, NC 28387-2927 · (910) 295-2100 · Fax (910) 295-3625
Fax(910) 295-3625
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 5, 2015
Last NPPES UpdateDecember 20, 20234 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
NPI 1962882886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NC · 2021-01183 Licensed in KY · TP302 Licensed in OH · 35136292
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedInternal MedicineTaxonomy 207R00000X · License LL38304 (SC)
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 2021-01183 (NC)
2170 MIDLAND RD, Southern Pines, NC 28387

Other Names 1

Other Name (5)Dr. Kendall W Wannamaker Md

Secondary Practice Locations 2

Location 11991 Fordham Dr Ste 301Fayetteville, NC 28304-3774 · Phone (910) 485-2020 · Fax (910) 485-7571
Location 22905 N Elm StLumberton, NC 28358-2982 · Phone (310) 370-0100 · Fax (910) 370-0161

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

Kendall Whitfield Wannamaker Jr. 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 ID1456651975
PECOS Enrollment IDI20210730002565
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 21

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
96,240 services322 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
2,322 services784 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,607 services380 patients
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.
544 services429 patients
Injection, dexamethasone, intravitreal implant, 0.1 mg J7312
This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.
385 services15 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
284 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28387 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

77.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost25.42

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.

Ophthalmology
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Nurse Anesthetist, Certified Registered
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Physician Assistant
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Ophthalmology
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Nurse Anesthetist, Certified Registered
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Optometrist
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Physician Assistant
2170 MIDLAND RD
SOUTHERN PINES, NC 28387
Ophthalmology
2170 MIDLAND RD
SOUTHERN PINES, NC 28387

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 Kendall Wannamaker's NPI number?

The NPI number for Kendall Wannamaker is 1962882886. It was assigned to this individual provider in the NPPES registry on June 5, 2015. The provider is also known as Dr. Kendall W Wannamaker MD.

Where is Kendall Wannamaker located?

Kendall Wannamaker practices at 2170 Midland Rd, Southern Pines, NC 28387. The listed phone number is (910) 295-2100.

What is Kendall Wannamaker's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kendall Wannamaker enrolled in Medicare?

Yes. Kendall Wannamaker 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 Kendall Wannamaker accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 3 other insurers list Kendall Wannamaker 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 Kendall Wannamaker was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.