DR. RICHARD W WELLMAN (MD) – Obstetrics & Gynecology Physician, NPI 1184629701

DR. RICHARD W WELLMAN (MD) is a healthcare provider. based in Bloomington, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036091292 (IL). The NPI Number for DR. RICHARD W WELLMAN (MD) is 1184629701

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD W WELLMAN (MD)
NPI
1184629701
Phone
(309) 663-8888
Address
1505 EASTLAND DR STE 100
Enumeration Date
20 June 2005
Last Update Date
26 September 2019

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6613274647
Graduation Year
1982 (44 years ago)
PAC ID
8224124383
Group Practice PAC ID
8729276795
Professional Enrollment ID
I20220609002586
Address ID
CA933012237BA420XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for DR. RICHARD W WELLMAN (MD)

  • Eastland Drive, Bloomington, McLean County, Illinois, 61799, United States

    BLOOMINGTON, IL 617017906

    Phone: (309) 663-8888

    Fax: (309) 277-2359

    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 2 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Organon LLC ($54).

Total Amount

$54

General + Research + Ownership

Payments

2

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$54
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: 2022-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101008000652IObstetrics/GynecologyILTBD
I20220609002586IObstetrics/GynecologyCATBD

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 61701)

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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: 8729276795View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
-TN
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YCA
-MD
O B S T E T R I C S/ G Y N E C O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What number should I use to identify DR. RICHARD W WELLMAN (MD) for billing?
Administrative and clinical systems typically use NPI 1184629701 for DR. RICHARD W WELLMAN (MD).
Is DR. RICHARD W WELLMAN (MD)'s NPI status active today?
Active status means DR. RICHARD W WELLMAN (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. RICHARD W WELLMAN (MD) does?
Insurance directories may phrase it differently, but here DR. RICHARD W WELLMAN (MD) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. RICHARD W WELLMAN (MD)?
The directory associates DR. RICHARD W WELLMAN (MD) with Bloomington, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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