THOMAS ALLEN WOLTJER (D.O.) – Retina Specialist (Ophthalmology) Physician, NPI 1376989202
Retina Specialist (Ophthalmology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
158 OPHTHALMOLOGY in KS
Provider Addresses for THOMAS ALLEN WOLTJER (D.O.)
7717 E 29TH ST N STE 100
WICHITA, KS 672263444
Phone: (316) 712-4970
Fax: (316) 712-4987
Type: Mailing
530 N LORRAINE AVE
WICHITA, KS 672144837
Phone: (316) 683-5611
Fax: (316) 683-0294
Type: Mailing
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
675 BALTIMORE DR
WILKES BARRE, PA 187027900
Phone: (570) 808-5441
Fax: (570) 808-5371
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $797.
Total Amount is formed as General ($797) + Research ($0) + Ownership ($0) = $797.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($322).
Total Amount
$797
General + Research + Ownership
Payments
8
Total payment records
General Amount
$797
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-10-13
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 |
|---|---|---|---|---|
| I20190819003069 | I | Ophthalmology | KS | TBD |
| I20211013002644 | I | Ophthalmology | PA | 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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 828 | 332 | $0 |
| 92014 | Established patient complete exam of visual system | 609 | 336 | $0 |
| 67028 | Injection of drug into eye | 449 | 121 | $0 |
| 92250 | Photography of the retina | 111 | 84 | $0 |
| 92004 | New patient complete exam of visual system | 59 | 59 | $0 |
Insurance plans in this area (ZIP 67226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | KS | |
| O P H T H A L M O L O G Y | KS | |
| O P H T H A L M O L O G Y | KS | |
| O P H T H A L M O L O G Y | KS |
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