JOHN B WAHLIG (MD) – Neurological Surgery Physician, NPI 1790729051

JOHN B WAHLIG (MD) is a healthcare provider. based in Portland, Maine. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. MD16536 (ME). The NPI Number for JOHN B WAHLIG (MD) is 1790729051

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
JOHN B WAHLIG (MD)
NPI
1790729051
Phone
(207) 553-6054
Address
195 FORE RIVER PKWY
Enumeration Date
16 June 2006
Last Update Date
12 December 2013

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
2078578174
Graduation Year
1994 (32 years ago)
PAC ID
8729050422
Group Practice PAC ID
6103737812
Professional Enrollment ID
I20040817001036
Address ID
ME040923188WE40XXXRDXX300
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

25 NEUROSURGERY in ME

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Provider Addresses for JOHN B WAHLIG (MD)

  • 195, Fore River Parkway, Libbytown, Portland, Cumberland County, Maine, 04102, United States

    SUITE 490

    PORTLAND, ME 041022780

    Phone: (207) 553-6054

    Fax: (207) 553-6076

    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 1 Open Payments records for all available years, with a total value of $1,292.

Total Amount is formed as General ($1,292) + Research ($0) + Ownership ($0) = $1,292.

Last reported payment date: 2023-03-27 • Largest payer in this snapshot: Stryker Corporation ($1,292).

Total Amount

$1,292

General + Research + Ownership

Payments

1

Total payment records

General Amount

$1,292

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$1,292
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: 2004-08-17

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
I20040817001036INeurosurgeryMETBD

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
99215Established patient office or other outpatient visit, 40-54 minutes7668$0
99205New patient office or other outpatient visit, 60-74 minutes3636$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2117$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment2014$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment1616$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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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: 6103737812View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN B WAHLIG (MD)?
JOHN B WAHLIG (MD) — NPI 1790729051 — is the standard way to identify this listing.
Does the file indicate JOHN B WAHLIG (MD) is practicing under active NPI?
Directory data currently reports JOHN B WAHLIG (MD) as active.
What is JOHN B WAHLIG (MD) best known for clinically?
Directory data describes JOHN B WAHLIG (MD) with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN B WAHLIG (MD)?
JOHN B WAHLIG (MD)'s geographic hint is Portland, Maine in our summary view.
Is the information about JOHN B WAHLIG (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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