DR. ZACHARY RICHARD WETENDORF (M.D.) – Emergency Medicine Physician, NPI 1023351632

DR. ZACHARY RICHARD WETENDORF (M.D.) is a healthcare provider. based in Austell, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 72847 (GA). The NPI Number for DR. ZACHARY RICHARD WETENDORF (M.D.) is 1023351632

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ZACHARY RICHARD WETENDORF (M.D.)
NPI
1023351632
Phone
(770) 732-3886
Address
3950 AUSTELL RD
Enumeration Date
2 April 2013
Last Update Date
5 July 2016

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4048518000
Graduation Year
2013 (13 years ago)
PAC ID
3779885868
Group Practice PAC ID
9335135144
Professional Enrollment ID
I20160614002505
Address ID
GA303421606AT1000XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for DR. ZACHARY RICHARD WETENDORF (M.D.)

  • 3950 AUSTELL RD

    AUSTELL, GA 301061121

    Phone: (770) 732-3886

    Fax: (770) 732-7280

    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 5 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($78).

Total Amount

$175

General + Research + Ownership

Payments

5

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

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: 2016-06-14

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
I20160614002505IEmergency MedicineGATBD

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 making210204$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only139136$0
99291Critical care, first 30-74 minutes7372$0
99284Emergency department visit with moderate level of medical decision making6969$0
View full utilization report →

Insurance plans in this area (ZIP 30106)

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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: 9335135144View full group profile
NameSpecialtyState
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineKY
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineAL
Nurse PractitionerGA
-GA
Emergency MedicineGA
Emergency MedicineMI

Reviews

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Frequently asked questions

What is the registry number for DR. ZACHARY RICHARD WETENDORF (M.D.)?
The registry entry for DR. ZACHARY RICHARD WETENDORF (M.D.) shows NPI 1023351632.
Is DR. ZACHARY RICHARD WETENDORF (M.D.)'s NPI status active today?
Active status means DR. ZACHARY RICHARD WETENDORF (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. ZACHARY RICHARD WETENDORF (M.D.) does?
Insurance directories may phrase it differently, but here DR. ZACHARY RICHARD WETENDORF (M.D.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ZACHARY RICHARD WETENDORF (M.D.)?
DR. ZACHARY RICHARD WETENDORF (M.D.) shows a connection to Austell, Georgia in registry-derived data.
Why is information missing for DR. ZACHARY RICHARD WETENDORF (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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