MR. NIKOLAUS WIM PANKOW (M.D.) – Family Medicine Physician, NPI 1194043315

MR. NIKOLAUS WIM PANKOW (M.D.) is a healthcare provider. based in West palm beach, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME121008 (FL). The NPI Number for MR. NIKOLAUS WIM PANKOW (M.D.) is 1194043315

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. NIKOLAUS WIM PANKOW (M.D.)
NPI
1194043315
Phone
(561) 798-3030
Address
253 COURTNEY LAKES CIR
Enumeration Date
12 May 2010
Last Update Date
23 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617844930
Graduation Year
2001 (25 years ago)
PAC ID
7113153487
Group Practice PAC ID
3870633753
Professional Enrollment ID
I20160216002573
Address ID
FL334149348WE2465XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for MR. NIKOLAUS WIM PANKOW (M.D.)

  • 253 COURTNEY LAKES CIR

    APT 202

    WEST PALM BEACH, FL 334012377

    Phone: (561) 798-3030

    Fax: (561) 798-8242

    Type: Mailing

  • 1037 S STATE ROAD 7

    SUITE 211

    WELLINGTON, FL 334146138

    Phone: (561) 798-3030

    Fax: (561) 798-8242

    Type: Location

  • 2465 S STATE ROAD 7 STE 800

    WELLINGTON, FL 334149348

    Phone: (561) 784-4930

    Fax: (833) 625-1630

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,098.

Total Amount is formed as General ($1,098) + Research ($0) + Ownership ($0) = $1,098.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($330).

Total Amount

$1,098

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,098

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

Latest reported date

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: 2016-02-16

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
I20160216002573IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes135117$0
36415Insertion of needle into vein for collection of blood sample4242$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4040$0
G0444Annual depression screening, 5 to 15 minutes3131$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3028$0
View full utilization report →

Insurance plans in this area (ZIP 33401)

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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: 3870633753View full group profile
NameSpecialtyState
-FL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
-FL
Physician AssistantFL
Physician AssistantFL
G A S T R O E N T E R O L O G YMA
U R O L O G YIA
-FL

Reviews

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Frequently asked questions

Does MR. NIKOLAUS WIM PANKOW (M.D.) have a public NPI I can cite?
Public records show MR. NIKOLAUS WIM PANKOW (M.D.) under NPI 1194043315.
Is MR. NIKOLAUS WIM PANKOW (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MR. NIKOLAUS WIM PANKOW (M.D.) as active.
What services align with MR. NIKOLAUS WIM PANKOW (M.D.)'s listing?
MR. NIKOLAUS WIM PANKOW (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. NIKOLAUS WIM PANKOW (M.D.)?
MR. NIKOLAUS WIM PANKOW (M.D.) shows a connection to West Palm Beach, Florida in registry-derived data.
Who maintains MR. NIKOLAUS WIM PANKOW (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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