DR. WALTER WAYNE III WOLF (D.O.) – Surgery Physician, NPI 1679531545
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
787 GENERAL SURGERY in MO
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Provider Addresses for DR. WALTER WAYNE III WOLF (D.O.)
Citizens Memorial Hospital, 1500, North Oakland Avenue, Bolivar, Polk County, Missouri, 65613, United States
BOLIVAR, MO 656133011
Phone: (417) 326-6000
Fax: (417) 328-6338
Type: Mailing
1155, West Parkview Street, Bolivar, Polk County, Missouri, 65613, United States
SUITE 1F
BOLIVAR, MO 656138279
Phone: (417) 326-8700
Fax: (417) 777-8173
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 $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($22).
Total Amount
$89
General + Research + Ownership
Payments
5
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-11-07
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 |
|---|---|---|---|---|
| I20061107000389 | I | General Surgery | MO | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 48 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 43 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 34 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 65613)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | MO | 45385 | Removal of polyps or growths of large bowel using an endoscope | 44 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| Urology, Internal Medicine | MO | |
| - | MO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Dermatology | MO | |
| Hospitalist, Internal Medicine | KS | |
| Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | MO | |
| Diagnostic Radiology | MO |
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