WAYNE ALBERT WIVELL (MD) – Diagnostic Radiology Physician, NPI 1912980079
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
188 INTERVENTIONAL RADIOLOGY in MA
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Provider Addresses for WAYNE ALBERT WIVELL (MD)
Melrose-Wakefield Hospital, 585, Lebanon Street, Wyoming, Melrose, Middlesex County, Massachusetts, 02176, United States
MELROSE-WAKEFIELD HOSPITAL
MELROSE, MA 02176
Phone: (781) 979-3120
Type: Location
Northwest 11th Place, Gainesville, Alachua County, Florida, 32605, United States
GAINESVILLE, FL 326054201
Phone:
Type: Mailing
6716 NW 11TH PL STE 200
GAINESVILLE, FL 326054201
Phone: (352) 331-9729
Fax: (352) 331-0136
Type: Location
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: 2020-06-29
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 |
|---|---|---|---|---|
| I20101130000642 | I | Diagnostic Radiology | MA | TBD |
| I20200629002917 | I | Interventional Radiology | FL | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,450 | 44 | $0 |
| 71045 | X-ray of chest, 1 view | 1,433 | 1,258 | $0 |
| 70450 | Ct scan head or brain without contrast | 593 | 569 | $0 |
| 71046 | X-ray of chest, 2 views | 310 | 305 | $0 |
| 72125 | Ct scan of upper spine without contrast | 182 | 179 | $0 |
Insurance plans in this area (ZIP 02176)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MA | 71250 | CT scan chest | 22 | 22 |
| DIAGNOSTIC RADIOLOGY | MA | 73562 | X-ray of knee, 3 views | 45 | 42 |
| DIAGNOSTIC RADIOLOGY | MA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 77 | 71 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Physician Assistant | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Physician Assistant | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Physician Assistant | FL |
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