NICHOLAS WELLE (D.O.) – Surgery Physician, NPI 1235598897
Surgery Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in KS
Provider Addresses for NICHOLAS WELLE (D.O.)
5024 W 72nd St
Prairie Village, KS 662082405
Phone: (785) 341-1246
Type: Location
1906 W Rockport Pl
Broken Arrow, OK 740120448
Phone: (785) 341-1246
Type: Location
5100 W 110TH ST STE 300
OVERLAND PARK, KS 662111215
Phone: (913) 754-2800
Type: Mailing
1906 W ROCKPORT PL
BROKEN ARROW, OK 740120448
Phone:
Type: Mailing
5024, West 72nd Street, Prairie Village South, Prairie Village, Johnson County, Kansas, 66208, United States
PRAIRIE VILLAGE, KS 662082405
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $4,142.
Total Amount is formed as General ($4,142) + Research ($0) + Ownership ($0) = $4,142.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,467).
Total Amount
$4,142
General + Research + Ownership
Payments
33
Total payment records
General Amount
$4,142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,467 |
| TELA Bio, Inc. | $145 |
| Acera Surgical, Inc. | $88 |
| Becton, Dickinson and Company | $65 |
| Smith+Nephew, Inc. | $64 |
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: 2023-10-30
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 |
|---|---|---|---|---|
| I20230515001139 | I | General Surgery | MO | TBD |
| I20231030002249 | I | General Surgery | KS | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 66208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Gastroenterology | KS | |
| - | KS | |
| General Surgery | MO | |
| Nurse Practitioner | MO | |
| General Surgery, Vascular Surgery | KS | |
| Vascular Surgery | MA | |
| Vascular Surgery, General Surgery | KS | |
| Vascular Surgery, General Surgery | MN | |
| General Surgery | KS | |
| Nurse Practitioner | KS |
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