BRIAN W ONDULICK (DO) – Surgery Physician, NPI 1336129485

BRIAN W ONDULICK (DO) is a healthcare provider. based in Beavercreek, Ohio. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 34-00-7860-O (OH). The NPI Number for BRIAN W ONDULICK (DO) is 1336129485

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN W ONDULICK (DO)
NPI
1336129485
Phone
(937) 490-2270
Address
3535 PENTAGON BLVD
Enumeration Date
17 January 2006
Last Update Date
7 January 2021

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9372987751
Graduation Year
1999 (27 years ago)
PAC ID
2860463676
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20040805001043
Address ID
OH454292405KE4441XAVEX400

Contacts

Secure Messaging
bondulick185187@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,600 GENERAL SURGERY in OH

Loading map...

Provider Addresses for BRIAN W ONDULICK (DO)

  • Soin Medical Center, 3535, Pentagon Boulevard, New Germany, Beavercreek, Greene County, Ohio, 45431, United States

    SUITE 320

    BEAVERCREEK, OH 454311705

    Phone: (937) 490-2270

    Fax: (937) 490-2272

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($45).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$45
View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040805001043IGeneral SurgeryOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9967$0
99204New patient office or other outpatient visit, 45-59 minutes8181$0
99214Established patient office or other outpatient visit, 30-39 minutes4937$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4645$0
99213Established patient office or other outpatient visit, 20-29 minutes2518$0
View full utilization report →

Insurance plans in this area (ZIP 45431)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to BRIAN W ONDULICK (DO)?
NPI 1336129485 is assigned to BRIAN W ONDULICK (DO) under the national enumeration system.
Is BRIAN W ONDULICK (DO)'s NPI currently valid?
The extract we use shows BRIAN W ONDULICK (DO) as active.
What field does BRIAN W ONDULICK (DO) work in?
You can think of BRIAN W ONDULICK (DO) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRIAN W ONDULICK (DO)?
The page summarizes Beavercreek, Ohio for BRIAN W ONDULICK (DO); expand the address list for detail.
Is BRIAN W ONDULICK (DO) a real provider?
This page reflects official NPPES data for NPI 1336129485. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

244, Wilson Drive, Xenia, Greene County, Ohio, 45385, United States
NPI: 1972503357

DR. JAMES R GEBHART (D.O.)

Vascular Surgery Physician
2141 N Fairfield Rd
NPI: 1447221882
2222 N Nevada Ave
NPI: 1588689475
554, Riverwood Drive, Beavercreek, Greene County, Ohio, 45430, United States
NPI: 1740292663

DR. JACOB CARMEN III YANNETTA (D.O.)

Vascular Surgery Physician
2141, North Fairfield Road, Beavercreek, Greene County, Ohio, 45431, United States
NPI: 1992873046
22072 FAIRLANE BLVD
NPI: 1336366160

MISS ANITA BALAKRISHNA RAO (M.D.)

Family Medicine Physician
3100, Court View Drive, Beavercreek, Greene County, Ohio, 45431, United States
NPI: 1700065919
3535 Pentagon Blvd Ste 320
NPI: 1801053103