WILLIAM HARRY JR. ABILDGAARD (MD) – Dermatology Physician, NPI 1821191271

WILLIAM HARRY JR. ABILDGAARD (MD) is a healthcare provider. based in Centerville, Ohio. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. 35.135975 (OH). The NPI Number for WILLIAM HARRY JR. ABILDGAARD (MD) is 1821191271

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM HARRY JR. ABILDGAARD (MD)
NPI
1821191271
Phone
(937) 438-3376
Address
400 N MAIN ST STE D
Enumeration Date
7 September 2006
Last Update Date
11 December 2019

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9374383376
Graduation Year
1978 (48 years ago)
PAC ID
6002989357
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20200204002343
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for WILLIAM HARRY JR. ABILDGAARD (MD)

  • 400 N MAIN ST STE D

    CENTERVILLE, OH 454594424

    Phone: (937) 438-3376

    Fax: (937) 438-9424

    Type: Location

  • 801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

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: 2023-01-26

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
I20230126002847IDermatologyTNTBD

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
17003Destruction of precancer skin growth, 2-14 growths6824$0
17000Destruction of precancer skin growth, 1 growth4139$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes2018$0
17110Destruction of skin growth, 1-14 growths2020$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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Provider's Procedures

WILLIAM HARRY JR. ABILDGAARD (MD) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA17003Destruction of 2-14 skin growths65321073

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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

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Frequently asked questions

What is the standard ID for WILLIAM HARRY JR. ABILDGAARD (MD) in the U.S.?
In the U.S., WILLIAM HARRY JR. ABILDGAARD (MD) is identified by NPI 1821191271.
Does the public listing show WILLIAM HARRY JR. ABILDGAARD (MD) as active?
WILLIAM HARRY JR. ABILDGAARD (MD)'s NPI record reflects an active status in NPPES.
What type of care does WILLIAM HARRY JR. ABILDGAARD (MD) provide?
WILLIAM HARRY JR. ABILDGAARD (MD)'s profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to WILLIAM HARRY JR. ABILDGAARD (MD)?
WILLIAM HARRY JR. ABILDGAARD (MD) is associated with Centerville, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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