WENZEL D KOVARIK (M.D.) – Anesthesiology Physician, NPI 1063584274
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WENZEL D KOVARIK (M.D.)
ONE MEDICAL CENTER DR
LEBANON, NH 037560001
Phone: (603) 650-5922
Type: Mailing
Gannett Drive, South Portland, Cumberland County, Maine, 04092, United States
SOUTH PORTLAND, ME 041063266
Phone: (207) 482-7800
Type: Mailing
Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States
PORTLAND, ME 041023134
Phone: (207) 662-2526
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: 2021-03-29
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 |
|---|---|---|---|---|
| I20080915000191 | I | Anesthesiology | ME | TBD |
| I20210329002138 | I | Anesthesiology | NH | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 36 | 36 | $0 |
| 00104 | Anesthesia for electroshock therapy | 18 | 14 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 14 | 14 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 14 | 14 | $0 |
Insurance plans in this area (ZIP 03756)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| Diagnostic Radiology | ME | |
| A N E S T H E S I O L O G Y | ME | |
| - | ME | |
| - | NH | |
| Diagnostic Radiology | ME | |
| - | ME | |
| Diagnostic Radiology | IL | |
| - | ME | |
| A N E S T H E S I O L O G Y | ME |
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