DR. NEIL WILLIAM WANGSTROM (M.D.) – Otolaryngology Physician, NPI 1730189820

DR. NEIL WILLIAM WANGSTROM (M.D.) is a healthcare provider. based in La porte, Indiana. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 01038858 (IN). The NPI Number for DR. NEIL WILLIAM WANGSTROM (M.D.) is 1730189820

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. NEIL WILLIAM WANGSTROM (M.D.)
NPI
1730189820
Phone
(219) 326-2312
Address
PO BOX 1690
Enumeration Date
29 July 2005
Last Update Date
16 September 2020

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
2062474414
Group Practice PAC ID
3173683984
Professional Enrollment ID
I20041028000846
Address ID
IN463041589CH425XXDRXX401

Contacts

Secure Messaging
NEIL.WANGSTROM@laportehosp.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

242 OTOLARYNGOLOGY in IN

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Provider Addresses for DR. NEIL WILLIAM WANGSTROM (M.D.)

  • Porte, Avenue Joseph Sinald, Base Aeroport, Pointe-Noire, Lumumba, Pointe-Noire, 4799, Congo-Brazzaville

    LA PORTE, IN 463521690

    Phone: (219) 326-2312

    Fax: (219) 326-2584

    Type: Mailing

  • 304, Detroit Street, La Porte, LaPorte County, Indiana, 46350, United States

    LA PORTE, IN 463502497

    Phone: (219) 325-3770

    Fax: (219) 325-8181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($66).

Total Amount

$144

General + Research + Ownership

Payments

5

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2004-10-28

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
I20041028000846IOtolaryngologyINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9172$0
99203New patient office or other outpatient visit, 30-44 minutes8080$0
99204New patient office or other outpatient visit, 45-59 minutes5959$0
31575Diagnostic exam of voice box using a flexible endoscope4537$0
69210Removal of impacted ear wax4028$0
View full utilization report →

Insurance plans in this area (ZIP 46352)

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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: 3173683984View full group profile
NameSpecialtyState
Orthopedic SurgeryIN
Nurse PractitionerIN
O P T O M E T R YIN
Orthopedic SurgeryIL
U R O L O G YMI
Orthopedic SurgeryIN
Nurse PractitionerIL
Hospitalist, Internal MedicineIN
Nurse PractitionerIN
Orthopedic Surgery, Hand SurgeryWA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. NEIL WILLIAM WANGSTROM (M.D.)?
NPI 1730189820 is assigned to DR. NEIL WILLIAM WANGSTROM (M.D.) under the national enumeration system.
Is DR. NEIL WILLIAM WANGSTROM (M.D.) currently active in the NPI registry?
CMS-published data lists DR. NEIL WILLIAM WANGSTROM (M.D.) as an active registrant.
What field does DR. NEIL WILLIAM WANGSTROM (M.D.) work in?
You can think of DR. NEIL WILLIAM WANGSTROM (M.D.) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Does DR. NEIL WILLIAM WANGSTROM (M.D.) practice in Indiana?
You will see La Porte, Indiana on file for DR. NEIL WILLIAM WANGSTROM (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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