DR. WOLLELAW W AGMAS (M.D) – Public Health & General Preventive Medicine Physician, NPI 1174937825
Public Health & General Preventive Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6 PREVENTIVE MEDICINE in ME
Provider Addresses for DR. WOLLELAW W AGMAS (M.D)
12175 ALBROOK DR APT 1311
DENVER, CO 802394517
Phone: (909) 754-6434
Type: Mailing
22 BRAMHALL ST
PORTLAND, ME 041023134
Phone: (207) 662-7068
Type: Location
8263 GROVE AVE STE 201
RANCHO CUCAMONGA, CA 917303107
Phone: (909) 579-0708
Fax: (909) 579-0778
Type: Location
6255 W SUNSET BLVD FL 21
LOS ANGELES, CA 900287422
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $890.
Total Amount is formed as General ($890) + Research ($0) + Ownership ($0) = $890.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ViiV Healthcare Company ($669).
Total Amount
$890
General + Research + Ownership
Payments
29
Total payment records
General Amount
$890
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $669 |
| EMD Serono, Inc. | $134 |
| Theratechnologies Inc. | $34 |
| Gilead Sciences, Inc. | $32 |
| Merck Sharp & Dohme LLC | $20 |
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: 2023-02-09
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 |
|---|---|---|---|---|
| I20230209002170 | I | Preventive Medicine | CA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 45 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 40 | 27 | $0 |
| G0009 | Administration of pneumococcal vaccine | 13 | 13 | $0 |
| G0008 | Administration of influenza virus vaccine | 12 | 11 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | 11 | $0 |
Insurance plans in this area (ZIP 80239)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Infectious Disease, Internal Medicine | CA | |
| - | FL | |
| - | SC | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Family Practice | SC | |
| - | FL | |
| P S Y C H I A T R Y | FL | |
| - | FL |
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