DR. LARRY L II WELLENDORF (MD) – Family Medicine Physician, NPI 1790798593
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
969 FAMILY PRACTICE in ID
Provider Addresses for DR. LARRY L II WELLENDORF (MD)
520 S Eagle Rd Ste 2213
Meridian, ID 836426354
Phone: (208) 706-5447
Fax: (208) 706-5448
Type: Location
2236 N MERRITT CREEK LOOP STE A
COEUR D ALENE, ID 838144960
Phone: (208) 625-3670
Fax: (208) 625-3675
Type: Location
650 S Randall Rd
Algonquin, IL 601025944
Phone: (815) 398-9491
Fax: (815) 381-7498
Type: Location
650, Randall Road, Creekside of Algonquin, Algonquin, McHenry County, Illinois, 60102, United States
ALGONQUIN, IL 601025944
Phone: (815) 398-9491
Fax: (815) 381-7498
Type: Location
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 838146051
Phone: (208) 625-5084
Type: Mailing
The Box Milwaukee, 311, East Wisconsin Avenue, Historic Financial District, Juneautown, Downtown, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
MILWAUKEE, WI 532788534
Phone: (815) 398-9491
Fax: (815) 381-7498
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-03-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20031217000093 | I | Family Practice | IL | TBD |
| I20240327003369 | I | Family Practice | ID | 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 |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 845 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 82 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 78 | 78 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 59 | 43 | $0 |
| 73564 | X-ray of knee, 4 or more views | 45 | 43 | $0 |
Insurance plans in this area (ZIP 83642)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Family Practice | ID | |
| - | ID | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| - | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | NJ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.