DR. JOHN P WUENNENBERG (MD) – Dermatology Physician, NPI 1124554589
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
42 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in MO
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Provider Addresses for DR. JOHN P WUENNENBERG (MD)
2, Hitt Street, Strollway, Columbia, Boone County, Missouri, 65201, United States
COLUMBIA, MO 65212
Phone: (314) 882-4800
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
1007 HARBOR HILLS DR STE C
MARQUETTE, MI 498558977
Phone: (906) 225-5458
Fax: (906) 225-1179
Type: Location
3500 Ludington St Ste 300
Escanaba, MI 498294218
Phone: (906) 553-6093
Fax: (906) 553-6958
Type: Location
3515 Murray St
Marinette, WI 541433367
Phone: (715) 732-0699
Fax: (715) 732-3522
Type: Location
5501A Vern Holmes Dr
Stevens Point, WI 544829791
Phone: (715) 344-0172
Fax: (715) 344-3684
Type: Location
510 N 17th Ave Ste C
Wausau, WI 544014281
Phone: (715) 849-5333
Fax: (715) 849-4083
Type: Location
9127, Wembley Woods Dr, Sunset Hills, Saint Louis County, Missouri, 63126, United States
SAINT LOUIS, MO 631263060
Phone:
Type: Mailing
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 352422541
Phone: (205) 977-9876
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $566.
Total Amount is formed as General ($566) + Research ($0) + Ownership ($0) = $566.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($70).
Total Amount
$566
General + Research + Ownership
Payments
26
Total payment records
General Amount
$566
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $70 |
| Novartis Pharmaceuticals Corporation | $69 |
| Regeneron Healthcare Solutions, Inc. | $60 |
| Amgen Inc. | $50 |
| GENZYME CORPORATION | $48 |
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: 2025-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20220616001510 | I | Dermatology | AL | TBD |
| I20240813003828 | I | Dermatology | MI | TBD |
| I20250128000780 | I | Dermatology | WI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 291 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 291 | 237 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 274 | 260 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 180 | 171 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 178 | 166 | $0 |
Insurance plans in this area (ZIP 65212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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