KATHRYN VORWALD (MD, DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1689961385

KATHRYN VORWALD (MD, DDS) is a healthcare provider. based in Tampa, Florida. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold the professional credentials MD, DDS. They hold a License No. ME131781 (FL). The NPI Number for KATHRYN VORWALD (MD, DDS) is 1689961385

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN VORWALD (MD, DDS)
NPI
1689961385
Phone
(813) 745-2710
Address
12902 USF MAGNOLIA DR
Enumeration Date
1 July 2011
Last Update Date
14 December 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7723355090
Graduation Year
2015 (11 years ago)
PAC ID
3779880844
Group Practice PAC ID
2769462969
Professional Enrollment ID
I20170814001151
Address ID
FL349527545PO1801XDRXX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

79 MAXILLOFACIAL SURGERY in FL

Provider Addresses for KATHRYN VORWALD (MD, DDS)

  • 12902 USF MAGNOLIA DR

    TAMPA, FL 336129416

    Phone: (813) 745-2710

    Fax: (813) 499-6863

    Type: Mailing

  • 2150 HARDEN BLVD

    LAKELAND, FL 338035917

    Phone: (863) 665-8878

    Fax: (863) 665-1096

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $467.

Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.

Last reported payment date: 2023-10-04 • Largest payer in this snapshot: Straumann USA LLC ($389).

Total Amount

$467

General + Research + Ownership

Payments

5

Total payment records

General Amount

$467

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-04

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: 2017-08-14

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
I20170814001151IMaxillofacial SurgeryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33612)

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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: 2769462969View full group profile
NameSpecialtyState
Oral Surgery, Maxillofacial SurgeryFL
Maxillofacial Surgery, Oral SurgeryFL
Oral Surgery, Maxillofacial SurgeryFL
Maxillofacial Surgery, Oral SurgeryFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHRYN VORWALD (MD, DDS)?
KATHRYN VORWALD (MD, DDS) — NPI 1689961385 — is the standard way to identify this listing.
Is KATHRYN VORWALD (MD, DDS) still practicing?
KATHRYN VORWALD (MD, DDS) is currently listed as active in the public NPI registry.
What is KATHRYN VORWALD (MD, DDS) best known for clinically?
Directory data describes KATHRYN VORWALD (MD, DDS) with Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Does KATHRYN VORWALD (MD, DDS) list a practice location?
Patients near Tampa, Florida may find KATHRYN VORWALD (MD, DDS) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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