DR. MAARTEN ADRIAAN J WYBENGA (MD) – Family Medicine Physician, NPI 1902987555
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MAARTEN ADRIAAN J WYBENGA (MD)
564 N Memorial Dr
Prattville, AL 360672132
Phone: (334) 358-2010
Fax: (334) 358-2013
Type: Location
2257, Taylor Road, Halcyon, Montgomery, Montgomery County, Alabama, 36117, United States
SUITE 200
MONTGOMERY, AL 361177790
Phone: (334) 270-9914
Fax: (334) 270-3195
Type: Mailing
564, North Memorial Drive, Prattville, Autauga County, Alabama, 36067, United States
PRATTVILLE, AL 360672132
Phone: (334) 358-2010
Fax: (334) 358-2013
Type: Location
1321 NORTH COUNTY HIGHWAY 395
SANTA ROSA BEACH, FL 32459
Phone: (850) 213-1133
Fax: (850) 213-2533
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2023-03-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($19).
Total Amount
$118
General + Research + Ownership
Payments
7
Total payment records
General Amount
$118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $19 |
| Mylan Specialty L.P. | $19 |
| Astellas Pharma US Inc | $18 |
| ABBVIE INC. | $17 |
| Novo Nordisk Inc | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031120000744 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 88 | 85 | $0 |
| 82044 | Urine microalbumin (protein) analysis | 50 | 50 | $0 |
| 81003 | Automated urinalysis test | 46 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 25 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 24 | 15 | $0 |
Insurance plans in this area (ZIP 36067)
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