MADISON KOCHER WULFECK (MD) – Diagnostic Radiology Physician, NPI 1750801031
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
Provider Addresses for MADISON KOCHER WULFECK (MD)
3320 Old Jefferson Rd Bldg 700
Athens, GA 306071465
Phone: (706) 353-2990
Fax: (706) 353-2992
Type: Location
4182 Highway 278 NE
Covington, GA 300142494
Phone: (678) 712-6921
Fax: (678) 712-6923
Type: Location
1460 Resurgence Dr
Watkinsville, GA 306777320
Phone: (762) 356-4785
Fax: (762) 728-6190
Type: Location
General Surgery Clinic
1801 Sunset Drive
Columbia, SC 29203
Phone: (803) 434-4166
Fax: (803) 434-4183
Type: Location
1400 River Pl
Braselton, GA 305175600
Phone: (770) 848-8000
Type: Location
245 Floyd Dr
Athens, GA 306071469
Phone: (762) 356-4780
Fax: (706) 608-7597
Type: Location
2300 Opitz Blvd
Woodbridge, VA 221913311
Phone: (703) 523-1199
Type: Location
4010 Old Bridgeview Ln
Charleston, SC 294036163
Phone: (706) 353-2990
Fax: (706) 353-2992
Type: Location
GENERAL SURGERY CLINIC
1801 SUNSET DRIVE
COLUMBIA, SC 29203
Phone: (803) 434-4166
Fax: (803) 434-4183
Type: Location
1801 SUNSET DR
COLUMBIA, SC 292036803
Phone: (803) 434-4166
Fax: (803) 434-4183
Type: Mailing
5000 W OAKLAND PARK BLVD
LAUDERDALE LAKES, FL 333131503
Phone: (954) 735-6000
Type: Location
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.
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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: 2026-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220214000244 | I | Diagnostic Radiology | FL | TBD |
| I20220214002212 | I | Diagnostic Radiology | OH | TBD |
| I20220520002146 | I | Diagnostic Radiology | NC | TBD |
| I20220725001940 | I | Diagnostic Radiology | SC | TBD |
| I20250822001841 | I | Diagnostic Radiology | GA | TBD |
| I20251002000394 | I | Diagnostic Radiology | IL | TBD |
| I20260120001427 | I | Diagnostic Radiology | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,473 | 1,222 | $0 |
| 71250 | Ct scan of chest without contrast | 557 | 548 | $0 |
| 71046 | X-ray of chest, 2 views | 377 | 365 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 318 | 315 | $0 |
| 71271 | Low dose ct scan of chest for lung cancer screening | 284 | 284 | $0 |
Insurance plans in this area (ZIP 30607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Interventional Cardiology | FL | |
| Diagnostic Radiology | FL | |
| Interventional Cardiology | FL | |
| Diagnostic Radiology | PA | |
| - | FL |
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