DR. GREGORY K. WANNER (DO, PA-C) – Emergency Medicine Physician, NPI 1689609661

DR. GREGORY K. WANNER (DO, PA-C) is a healthcare provider. based in Newark, Delaware. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO, PA-C. They hold a License No. 25MP00150600 (NJ). The NPI Number for DR. GREGORY K. WANNER (DO, PA-C) is 1689609661

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY K. WANNER (DO, PA-C)
NPI
1689609661
Phone
(302) 733-1840
Address
4755 OGLETOWN STANTON RD
Enumeration Date
11 July 2006
Last Update Date
19 October 2018

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3028383088
Graduation Year
2013 (13 years ago)
PAC ID
9537164272
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20160603000172
Address ID
DE197182200NE4755XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

236 EMERGENCY MEDICINE in DE

Provider Addresses for DR. GREGORY K. WANNER (DO, PA-C)

  • 4755 OGLETOWN STANTON RD

    NEWARK, DE 197182200

    Phone: (302) 733-1840

    Type: Location

  • Newark Post Office, Orchard Street, Teachers Village, The Ironbound, Newark, Essex County, New Jersey, 07102, United States

    NEWARK, DE 197147529

    Phone: (302) 294-1468

    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: 2021-07-30

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
I20160603000172IEmergency MedicineDETBD
I20210730000342IEmergency MedicineMDTBD

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
99285Emergency department visit with high level of medical decision making375371$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only190179$0
99284Emergency department visit with moderate level of medical decision making101101$0
99291Critical care, first 30-74 minutes2929$0
93308Ultrasound of heart, follow-up2020$0
View full utilization report →

Insurance plans in this area (ZIP 19718)

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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: 9739097569View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. GREGORY K. WANNER (DO, PA-C)?
DR. GREGORY K. WANNER (DO, PA-C) — NPI 1689609661 — is the standard way to identify this listing.
Does CMS list DR. GREGORY K. WANNER (DO, PA-C) as active?
Yes — DR. GREGORY K. WANNER (DO, PA-C) is active in the NPI listing used on this page.
What healthcare role does DR. GREGORY K. WANNER (DO, PA-C) hold?
Scheduling teams often label DR. GREGORY K. WANNER (DO, PA-C) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. GREGORY K. WANNER (DO, PA-C) list a practice location?
Patients near Newark, Delaware may find DR. GREGORY K. WANNER (DO, PA-C) in results; validate coverage separately.
Why does DR. GREGORY K. WANNER (DO, PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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