DR. WILLIAM BRIAN WOMACK (D.O.) – Family Medicine Physician, NPI 1679678205

DR. WILLIAM BRIAN WOMACK (D.O.) is a healthcare provider. based in Fort mohave, Arizona. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 3527 (AZ). The NPI Number for DR. WILLIAM BRIAN WOMACK (D.O.) is 1679678205

Main info

Male
Sole Proprietor
30 Years Of Experience
Name
DR. WILLIAM BRIAN WOMACK (D.O.)
NPI
1679678205
Phone
(928) 768-9496
Address
P.0. BOX 9479
Enumeration Date
14 September 2006
Last Update Date
5 January 2010

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
9287632273
Graduation Year
1996 (30 years ago)
PAC ID
1850348343
Group Practice PAC ID
8820138076
Professional Enrollment ID
I20080213000328
Address ID
AZ864427924BU2735XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,265 FAMILY PRACTICE in AZ

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Provider Addresses for DR. WILLIAM BRIAN WOMACK (D.O.)

  • Fort Mohave, Mohave County, Arizona, 86426, United States

    FORT MOHAVE, AZ 86426

    Phone: (928) 768-9496

    Type: Mailing

  • 1611, Joy Lane, Fort Mohave, Mohave County, Arizona, 86426, United States

    FORT MOHAVE, AZ 864268807

    Phone: (928) 768-9496

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $620.

Total Amount is formed as General ($620) + Research ($0) + Ownership ($0) = $620.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Novo Nordisk Inc ($181).

Total Amount

$620

General + Research + Ownership

Payments

35

Total payment records

General Amount

$620

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-02-13

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080213000328IFamily PracticeAZTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2,4511,007$0
99214Established patient office or other outpatient visit, 30-39 minutes1,524838$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,111134$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month1,009133$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit369369$0
View full utilization report →

Insurance plans in this area (ZIP 86426)

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Provider's Procedures

DR. WILLIAM BRIAN WOMACK (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAZ81002Urinalysis, manual test167114
FAMILY MEDICINEAZ83036Hemoglobin A1C level11289

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: 8820138076View full group profile
NameSpecialtyState
Internal Medicine, HospitalistNY
Internal MedicineLA
Family PracticeME
Internal MedicineNY
-AZ
Hospitalist, Internal Medicine, Internal MedicineMD
Internal MedicineAZ
-KY
-AZ
Internal MedicineAZ

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Frequently asked questions

Is DR. WILLIAM BRIAN WOMACK (D.O.) listed with a National Provider Identifier?
Yes — DR. WILLIAM BRIAN WOMACK (D.O.) has NPI 1679678205 on file in the registry.
Is DR. WILLIAM BRIAN WOMACK (D.O.) still an active registrant?
DR. WILLIAM BRIAN WOMACK (D.O.) carries an active NPI according to the public dataset.
What area of care is associated with DR. WILLIAM BRIAN WOMACK (D.O.)?
DR. WILLIAM BRIAN WOMACK (D.O.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. WILLIAM BRIAN WOMACK (D.O.)?
Travel planning: use Fort Mohave, Arizona as the reference point for DR. WILLIAM BRIAN WOMACK (D.O.), then confirm.
When was this NPI issued?
Enumeration for DR. WILLIAM BRIAN WOMACK (D.O.) is noted as September 14, 2006 where the registry provides it.

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