WALTER SPENCER WIGHTMAN (MD) – Family Medicine Physician, NPI 1033293295

WALTER SPENCER WIGHTMAN (MD) is a healthcare provider. based in Woburn, Massachusetts. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 73364 (MA). The NPI Number for WALTER SPENCER WIGHTMAN (MD) is 1033293295

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
WALTER SPENCER WIGHTMAN (MD)
NPI
1033293295
Phone
(781) 305-3300
Address
20 Tower Office Park
Enumeration Date
24 October 2006
Last Update Date
12 November 2019

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7813053300
Graduation Year
1983 (43 years ago)
PAC ID
0648218719
Group Practice PAC ID
5698933216
Professional Enrollment ID
I20050419001383
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

Provider Addresses for WALTER SPENCER WIGHTMAN (MD)

  • 20 Tower Office Park

    Woburn, MA 018012113

    Phone: (781) 305-3300

    Fax: (781) 305-3227

    Type: Location

  • 269, Union Street, Lynn, Essex County, Massachusetts, 01901, United States

    LYNN COMMUNITY HEALTH, INC.

    LYNN, MA 019011314

    Phone: (781) 581-3900

    Fax: (781) 598-1050

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-04-19

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
I20050419001383IFamily PracticeMATBD

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
80307Testing for presence of drug, by chemistry analyzers22334$0
99213Established patient office or other outpatient visit, 20-29 minutes19029$0
99214Established patient office or other outpatient visit, 30-39 minutes11621$0
View full utilization report →

Insurance plans in this area (ZIP 01801)

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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: 5698933216View full group profile
NameSpecialtyState
-MA
Clinical Social WorkerMA
Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Internal MedicineMA
Addiction MedicineMA
-MA
Obstetrics/Gynecology, Addiction Medicine, Obstetrics/GynecologyMA

Reviews

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Frequently asked questions

Where can patients find WALTER SPENCER WIGHTMAN (MD)'s NPI?
You can confirm WALTER SPENCER WIGHTMAN (MD) with NPI 1033293295; it appears in the national provider directory.
Is WALTER SPENCER WIGHTMAN (MD) active in the national directory?
WALTER SPENCER WIGHTMAN (MD)'s public NPI profile is in an active state.
What field does WALTER SPENCER WIGHTMAN (MD) work in?
You can think of WALTER SPENCER WIGHTMAN (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place WALTER SPENCER WIGHTMAN (MD)?
The snapshot lists Woburn, Massachusetts for WALTER SPENCER WIGHTMAN (MD); download NPPES for the complete set.
What if Woburn, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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