ANDREW WOERNER – Diagnostic Radiology Physician, NPI 1457857021

ANDREW WOERNER is a healthcare provider. based in Ketchikan, Alaska. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold a License No. 219479 (AK). The NPI Number for ANDREW WOERNER is 1457857021

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW WOERNER
NPI
1457857021
Phone
(907) 228-7644
Address
3100 TONGASS AVE
Enumeration Date
3 April 2018
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
9072288300
Graduation Year
2018 (8 years ago)
PAC ID
8224384102
Group Practice PAC ID
9436067618
Professional Enrollment ID
I20240522004335
Address ID
AK999015746KE3100XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

90 DIAGNOSTIC RADIOLOGY in AK

Provider Addresses for ANDREW WOERNER

  • 3100 TONGASS AVE

    KETCHIKAN, AK 999015746

    Phone: (907) 228-7644

    Fax: (907) 228-8337

    Type: Location

  • 747 Broadway

    Seattle, WA 981224307

    Phone: (206) 215-4253

    Type: Location

  • Swedish First Hill Medical Center, 747, Broadway, First Hill, Seattle, King County, Washington, 98122, United States

    SEATTLE, WA 981224307

    Phone: (206) 215-4253

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Inari Medical, Inc. ($66).

Total Amount

$141

General + Research + Ownership

Payments

3

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2024-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240522001908IInterventional RadiologyWATBD
I20240522004335IInterventional RadiologyAKTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436067618View full group profile
NameSpecialtyState
Nurse PractitionerAK
Diagnostic RadiologyAK
Diagnostic RadiologyWA
Diagnostic RadiologyWA
A N E S T H E S I O L O G YHI
Diagnostic RadiologyWA
Cardiovascular Disease (Cardiology), Internal MedicineWA
Interventional RadiologyIL
O B S T E T R I C S/ G Y N E C O L O G YAK
Physician AssistantAZ

Reviews

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Frequently asked questions

What is the standard ID for ANDREW WOERNER in the U.S.?
In the U.S., ANDREW WOERNER is identified by NPI 1457857021.
Should I treat ANDREW WOERNER as an active provider?
Patients and plans typically see ANDREW WOERNER as active in the national extract.
What type of care does ANDREW WOERNER provide?
ANDREW WOERNER's profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANDREW WOERNER?
ANDREW WOERNER is associated with Ketchikan, Alaska in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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