MR. WILLIAM T FANNIN (MD) – Addiction Medicine (Internal Medicine) Physician, NPI 1982764551
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
Provider Addresses for MR. WILLIAM T FANNIN (MD)
1358 WATERGAP RD
PRESTONSBURG, KY 416531721
Phone: (606) 432-4183
Type: Mailing
9 FLORA STREET
PIKEVILLE, KY 41501
Phone: (606) 432-4183
Fax: (606) 432-4270
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Indivior Inc. ($32).
Total Amount
$45
General + Research + Ownership
Payments
3
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $32 |
| Braeburn Inc. | $13 |
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: 2004-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040715001424 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| J2315 | Injection, naltrexone, depot form, 1 mg | 5,320 | 13 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 14 | 13 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 14 | 13 | $0 |
Insurance plans in this area (ZIP 41653)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Addiction Medicine | OH | |
| Nurse Practitioner | OH | |
| Family Practice | PA |
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