WANDA P. ADEFRIS (M.D.) – Obstetrics & Gynecology Physician, NPI 1235115577
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for WANDA P. ADEFRIS (M.D.)
215, Radio Drive, Woodbury, Washington County, Minnesota, 55125, United States
SUITE 200
WOODBURY, MN 551252298
Phone: (651) 686-6400
Fax: (651) 714-1264
Type: Mailing
1875, Woodwinds Drive, Woodbury, Washington County, Minnesota, 55125, United States
SUITE 110
WOODBURY, MN 551252298
Phone: (651) 686-6400
Fax: (651) 714-1264
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $81.
Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.
Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Exeltis, USA Inc. ($17).
Total Amount
$81
General + Research + Ownership
Payments
5
Total payment records
General Amount
$81
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $17 |
| ABBVIE INC. | $17 |
| Novo Nordisk Inc | $17 |
| Ethicon US, LLC | $17 |
| Bayer Healthcare Pharmaceuticals 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: 2011-04-18
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 |
|---|---|---|---|---|
| I20110418000531 | I | Obstetrics/Gynecology | MN | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 23 | 23 | $0 |
Insurance plans in this area (ZIP 55125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN |
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