DR. JACOB WILLIAM WENDLING (D.O.) – Gastroenterology Physician, NPI 1861788937

DR. JACOB WILLIAM WENDLING (D.O.) is a healthcare provider. based in Idaho falls, Idaho. specializing in GASTROENTEROLOGY. They hold the professional credentials D.O.. They hold a License No. 0-1292 (ID). The NPI Number for DR. JACOB WILLIAM WENDLING (D.O.) is 1861788937

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB WILLIAM WENDLING (D.O.)
NPI
1861788937
Phone
(208) 535-4580
Address
3200 CHANNING WAY STE 205
Enumeration Date
27 June 2011
Last Update Date
29 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085354580
Graduation Year
2011 (15 years ago)
PAC ID
4981972650
Group Practice PAC ID
2163430943
Professional Enrollment ID
I20191106003020
Address ID
ID834047586ID3200XWAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

76 GASTROENTEROLOGY in ID

Provider Addresses for DR. JACOB WILLIAM WENDLING (D.O.)

  • 3200 CHANNING WAY STE 205

    IDAHO FALLS, ID 834047546

    Phone: (208) 535-4580

    Fax: (208) 535-4520

    Type: Location

  • PO BOX 277381

    ATLANTA, GA 303847381

    Phone:

    Type: Mailing

  • 501 S. SANTA FE AVE, SUITE 220

    SALINA, KS 674014189

    Phone: (785) 452-6440

    Fax: (785) 452-6441

    Type: Mailing

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 $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: ABBVIE INC. ($81).

Total Amount

$97

General + Research + Ownership

Payments

3

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$81
Cook Medical LLC$16
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: 2019-11-06

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
I20191106003020IGastroenterologyIDTBD

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
45380Biopsy of large bowel using a flexible endoscope155155$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare115114$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8580$0
99214Established patient office or other outpatient visit, 30-39 minutes5144$0
99204New patient office or other outpatient visit, 45-59 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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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: 2163430943View full group profile
NameSpecialtyState
-ID
Cardiac ElectrophysiologyGA
Cardiac ElectrophysiologyUT
Nurse PractitionerID
N E U R O S U R G E R YID
Vascular SurgeryIA
Physician AssistantGA
N E U R O S U R G E R YGA
Physician AssistantID
Physician AssistantID

Reviews

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Frequently asked questions

How is DR. JACOB WILLIAM WENDLING (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. JACOB WILLIAM WENDLING (D.O.) with NPI 1861788937.
Is DR. JACOB WILLIAM WENDLING (D.O.) still practicing?
DR. JACOB WILLIAM WENDLING (D.O.) is currently listed as active in the public NPI registry.
What is DR. JACOB WILLIAM WENDLING (D.O.) best known for clinically?
Directory data describes DR. JACOB WILLIAM WENDLING (D.O.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JACOB WILLIAM WENDLING (D.O.) based?
DR. JACOB WILLIAM WENDLING (D.O.) is tied to Idaho Falls, Idaho in the data we show; additional addresses may exist on the full record.
Why does DR. JACOB WILLIAM WENDLING (D.O.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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