WANDA V HARRISON (MD) – Family Medicine Physician, NPI 1124165972

WANDA V HARRISON (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 41917 (KY). The NPI Number for WANDA V HARRISON (MD) is 1124165972

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
WANDA V HARRISON (MD)
NPI
1124165972
Phone
(859) 277-8560
Address
1451 HARRODSBURG RD
Enumeration Date
31 January 2007
Last Update Date
9 December 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8599728630
Graduation Year
1979 (47 years ago)
PAC ID
1658434907
Group Practice PAC ID
0345157293
Professional Enrollment ID
I20090113000171
Address ID
KY404753325RI235XXLNXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,718 FAMILY PRACTICE in KY

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Provider Addresses for WANDA V HARRISON (MD)

  • 1451, Harrodsburg Road, Headly Green, Lexington, Fayette County, Kentucky, 40504, United States

    SUITE D-502

    LEXINGTON, KY 405043758

    Phone: (859) 277-8560

    Fax: (859) 277-8866

    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 100 Open Payments records for all available years, with a total value of $1,685.

Total Amount is formed as General ($1,685) + Research ($0) + Ownership ($0) = $1,685.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($420).

Total Amount

$1,685

General + Research + Ownership

Payments

100

Total payment records

General Amount

$1,685

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2009-01-13

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
I20090113000171IFamily PracticeKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes288156$0
36415Insertion of needle into vein for collection of blood sample199127$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit104104$0
99213Established patient office or other outpatient visit, 20-29 minutes10075$0
83036Hemoglobin a1c level6141$0
View full utilization report →

Insurance plans in this area (ZIP 40504)

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Provider's Procedures

WANDA V HARRISON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKY83036Hemoglobin A1C level1514
FAMILY MEDICINEKY90670Pneumococcal vaccine for injection into muscle2120

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: 0345157293View full group profile
NameSpecialtyState
Orthopedic SurgeryKY
Nurse PractitionerKY
-KY
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeKY
Physician AssistantKY
Nurse PractitionerKY
Physical Therapist In Private PracticeKY
Orthopedic SurgeryKY
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for WANDA V HARRISON (MD)?
WANDA V HARRISON (MD) — NPI 1124165972 — is the standard way to identify this listing.
Does CMS list WANDA V HARRISON (MD) as active?
Yes — WANDA V HARRISON (MD) is active in the NPI listing used on this page.
What healthcare role does WANDA V HARRISON (MD) hold?
Scheduling teams often label WANDA V HARRISON (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does WANDA V HARRISON (MD) list a practice location?
Patients near Lexington, Kentucky may find WANDA V HARRISON (MD) in results; validate coverage separately.
Why does WANDA V HARRISON (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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