DR. WAYNE NICHOLAS EVANCHO (DO) – Family Medicine Physician, NPI 1619069804

DR. WAYNE NICHOLAS EVANCHO (DO) is a healthcare provider. based in North miami beach, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS5535 (FL). The NPI Number for DR. WAYNE NICHOLAS EVANCHO (DO) is 1619069804

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. WAYNE NICHOLAS EVANCHO (DO)
NPI
1619069804
Phone
(305) 944-8777
Address
1380 NE MIAMI GARDENS DRIVE
Enumeration Date
28 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
3049448777
Graduation Year
1987 (39 years ago)
PAC ID
1850451923
Group Practice PAC ID
7416230693
Professional Enrollment ID
I20081119000284
Address ID
FL331794758NO1380XDRXX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. WAYNE NICHOLAS EVANCHO (DO)

  • 1380, Northeast Miami Gardens Drive, North Miami Beach, Miami-Dade County, Florida, 33179, United States

    SUITE 285

    NORTH MIAMI BEACH, FL 33179

    Phone: (305) 944-8777

    Fax: (305) 944-3006

    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 3 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2023-10-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($47).

Total Amount

$71

General + Research + Ownership

Payments

3

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-10

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: 2008-11-19

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
I20081119000284IFamily 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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1,184217$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,095200$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes395105$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and150121$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6827$0
View full utilization report →

Insurance plans in this area (ZIP 33179)

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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: 7416230693View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
General PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Family Practice, Geriatric MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
-FL

Reviews

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Frequently asked questions

Does DR. WAYNE NICHOLAS EVANCHO (DO) have a public NPI I can cite?
Public records show DR. WAYNE NICHOLAS EVANCHO (DO) under NPI 1619069804.
Should I treat DR. WAYNE NICHOLAS EVANCHO (DO) as an active provider?
Patients and plans typically see DR. WAYNE NICHOLAS EVANCHO (DO) as active in the national extract.
Which specialty label fits DR. WAYNE NICHOLAS EVANCHO (DO)?
NPPES ties DR. WAYNE NICHOLAS EVANCHO (DO) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. WAYNE NICHOLAS EVANCHO (DO)?
DR. WAYNE NICHOLAS EVANCHO (DO) shows a connection to North Miami Beach, Florida in registry-derived data.
Who maintains DR. WAYNE NICHOLAS EVANCHO (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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