MR. RUDOLPH RICHARD WENCL (PA-C) – Physician Assistant, NPI 1184784530
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for MR. RUDOLPH RICHARD WENCL (PA-C)
559 VINCENT ST BLDG 959
PETERSON AFB, CO 809141541
Phone: (719) 556-6378
Fax: (877) 813-1756
Type: Mailing
2141 Academy Cir
Colorado Springs, CO 809091686
Phone: (719) 497-4200
Fax: (719) 597-4495
Type: Location
600 S 21ST ST
COLORADO SPRINGS, CO 809043762
Phone: (719) 522-1133
Type: Location
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Type: Mailing
2141 ACADEMY CIR
COLORADO SPRINGS, CO 809091686
Phone: (719) 597-4200
Fax: (719) 597-4495
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2014-01-27
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 |
|---|---|---|---|---|
| I20140127000389 | I | Physician Assistant | CO | 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 | 243 | 172 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 73 | 64 | $0 |
| 81002 | Urinalysis, manual test | 24 | 21 | $0 |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 16 | 15 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 14 | 14 | $0 |
Insurance plans in this area (ZIP 80914)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | CO | |
| - | CO | |
| - | CO | |
| - | NC | |
| Family Practice | MO | |
| Family Practice | NV | |
| - | CO | |
| - | CO | |
| - | CO |
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