DONALD WOLFRAM (M.D.) – Family Medicine Physician, NPI 1669499257

DONALD WOLFRAM (M.D.) is a healthcare provider. based in La porte, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 01041640A (IN). The NPI Number for DONALD WOLFRAM (M.D.) is 1669499257

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DONALD WOLFRAM (M.D.)
NPI
1669499257
Phone
(219) 326-1234
Address
1007 Lincolnway
Enumeration Date
17 July 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8557432247
Graduation Year
1992 (34 years ago)
PAC ID
7113020009
Group Practice PAC ID
2163969650
Professional Enrollment ID
I20070314000177
Address ID
IN462042810IN150XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

Provider Addresses for DONALD WOLFRAM (M.D.)

  • 1007 Lincolnway

    LA Porte, IN 463503201

    Phone: (219) 326-1234

    Type: Location

  • 5515 Cleveland Ave Ste 5

    Stevensville, MI 491279670

    Phone: (269) 429-9644

    Fax: (269) 429-4002

    Type: Location

  • Southwestern Medical Clinic, 9625, Red Arrow Highway, Livingston, Bridgman, Lake Charter Township, Berrien County, Michigan, 49106, United States

    BRIDGMAN, MI 491069559

    Phone: (269) 465-6050

    Fax: (269) 465-3134

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2023-09-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($102).

Total Amount

$102

General + Research + Ownership

Payments

1

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-21

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: 2018-03-20

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
I20070314000177IFamily PracticeINTBD
I20180320001080IFamily PracticeMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes16787$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes153137$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes7754$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7456$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5932$0
View full utilization report →

Insurance plans in this area (ZIP 46350)

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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: 2163969650View full group profile
NameSpecialtyState
Nurse PractitionerNC
Physician AssistantKY
Nurse PractitionerPA
Family PracticeNY
Nurse PractitionerCA
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantNC
Nurse PractitionerIN

Reviews

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Frequently asked questions

What number should I use to identify DONALD WOLFRAM (M.D.) for billing?
Administrative and clinical systems typically use NPI 1669499257 for DONALD WOLFRAM (M.D.).
Does the public listing show DONALD WOLFRAM (M.D.) as active?
DONALD WOLFRAM (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DONALD WOLFRAM (M.D.)'s specialty?
The extract shows Family Medicine Physician for DONALD WOLFRAM (M.D.). Clinical services aligned with this taxonomy classification.
Is DONALD WOLFRAM (M.D.) tied to La Porte, Indiana?
If you are local to La Porte, Indiana, DONALD WOLFRAM (M.D.) may be relevant to your search.
Can I export DONALD WOLFRAM (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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