DR. ADRIAN KENNETH WYLLIE (M.D) – General Practice Physician, NPI 1407234685

DR. ADRIAN KENNETH WYLLIE (M.D) is a healthcare provider. based in Wallingford, Connecticut. specializing in GENERAL PRACTICE. They hold the professional credentials M.D. They hold a License No. 56766 (CT). The NPI Number for DR. ADRIAN KENNETH WYLLIE (M.D) is 1407234685

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADRIAN KENNETH WYLLIE (M.D)
NPI
1407234685
Phone
(203) 598-6045
Address
4 RESEARCH PKWY
Enumeration Date
8 May 2015
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2039518360
Graduation Year
2014 (12 years ago)
PAC ID
7719291525
Group Practice PAC ID
8729445580
Professional Enrollment ID
I20170810001282
Address ID
CT064603511MI20XXXPARK301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

48 GENERAL PRACTICE in CT

Provider Addresses for DR. ADRIAN KENNETH WYLLIE (M.D)

  • 4 RESEARCH PKWY

    WALLINGFORD, CT 064921929

    Phone: (203) 598-6045

    Fax: (203) 879-0834

    Mailing address matches the actual address.

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 $2,112.

Total Amount is formed as General ($2,112) + Research ($0) + Ownership ($0) = $2,112.

Last reported payment date: 2024-11-16 • Largest payer in this snapshot: MIMEDX Group, Inc. ($1,277).

Total Amount

$2,112

General + Research + Ownership

Payments

35

Total payment records

General Amount

$2,112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-16

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: 2017-08-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170810001282IGeneral PracticeCTTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,814367$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes334199$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes205204$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes162116$0
11042Removal of skin and tissue, 20.0 sq cm or less13167$0
View full utilization report →

Insurance plans in this area (ZIP 06492)

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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: 8729445580View full group profile
NameSpecialtyState
Nurse PractitionerCT
General PracticeCT
General PracticeDC

Reviews

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Frequently asked questions

Does DR. ADRIAN KENNETH WYLLIE (M.D) have a public NPI I can cite?
Public records show DR. ADRIAN KENNETH WYLLIE (M.D) under NPI 1407234685.
Is DR. ADRIAN KENNETH WYLLIE (M.D)'s NPI status active today?
Active status means DR. ADRIAN KENNETH WYLLIE (M.D)'s NPI record is not deactivated in the public file.
What type of care does DR. ADRIAN KENNETH WYLLIE (M.D) provide?
DR. ADRIAN KENNETH WYLLIE (M.D)'s profile centers on General Practice Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ADRIAN KENNETH WYLLIE (M.D)?
The directory associates DR. ADRIAN KENNETH WYLLIE (M.D) with Wallingford, Connecticut. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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