KENDALL WHITFIELD JR. WANNAMAKER (M.D.) – Ophthalmology Physician, NPI 1962882886

KENDALL WHITFIELD JR. WANNAMAKER (M.D.) is a healthcare provider. based in Blue ash, Ohio. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. TP302 (KY). The NPI Number for KENDALL WHITFIELD JR. WANNAMAKER (M.D.) is 1962882886

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KENDALL WHITFIELD JR. WANNAMAKER (M.D.)
NPI
1962882886
Phone
(513) 984-5133
Address
1945 CEI DR
Enumeration Date
5 June 2015
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9103700100
Graduation Year
2021 (5 years ago)
PAC ID
1456651975
Group Practice PAC ID
0446245864
Professional Enrollment ID
I20210730002565
Address ID
NC283589739LU2905XSTXX400

Contacts

Secure Messaging
Kendall.Wannamaker@direct.carolinaeye.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:11State licenses:4Other namesUpdated within 12 months

841 OPHTHALMOLOGY in OH

Provider Addresses for KENDALL WHITFIELD JR. WANNAMAKER (M.D.)

  • 1945 CEI DR

    BLUE ASH, OH 452425664

    Phone: (513) 984-5133

    Fax: (513) 984-4240

    Type: Mailing

  • 2905 N Elm St

    Lumberton, NC 283582982

    Phone: (310) 370-0100

    Fax: (910) 370-0161

    Type: Location

  • 1991 Fordham Dr Ste 301

    Fayetteville, NC 283043774

    Phone: (910) 485-2020

    Fax: (910) 485-7571

    Type: Location

  • 2170 MIDLAND RD

    SOUTHERN PINES, NC 283872927

    Phone: (910) 295-2100

    Fax: (910) 295-3625

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,551.

Total Amount is formed as General ($1,551) + Research ($0) + Ownership ($0) = $1,551.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Genentech USA, Inc. ($625).

Total Amount

$1,551

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,551

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-07-30

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
I20210730002565IOphthalmologyNCTBD

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
J2777Injection, faricimab-svoa, 0.1 mg26,400116$0
92134Imaging of retina2,381858$0
J2778Injection, ranibizumab, 0.1 mg2,098107$0
67028Injection of drug into eye1,545372$0
J0178Injection, aflibercept, 1 mg1,360139$0
View full utilization report →

Insurance plans in this area (ZIP 45242)

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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: 0446245864View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNC
O P H T H A L M O L O G YNC
O P H T H A L M O L O G YSC
O P T O M E T R YNC
Physician AssistantNC
O P H T H A L M O L O G YNC
Physician AssistantNC
Physician AssistantNC
O P H T H A L M O L O G YNC
O P H T H A L M O L O G YNC

Reviews

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Frequently asked questions

What number should I use to identify KENDALL WHITFIELD JR. WANNAMAKER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1962882886 for KENDALL WHITFIELD JR. WANNAMAKER (M.D.).
Is KENDALL WHITFIELD JR. WANNAMAKER (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists KENDALL WHITFIELD JR. WANNAMAKER (M.D.) as active.
What services align with KENDALL WHITFIELD JR. WANNAMAKER (M.D.)'s listing?
KENDALL WHITFIELD JR. WANNAMAKER (M.D.)'s public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENDALL WHITFIELD JR. WANNAMAKER (M.D.)?
KENDALL WHITFIELD JR. WANNAMAKER (M.D.) is associated with Blue Ash, Ohio in the same public data insurers reference.
Why is information missing for KENDALL WHITFIELD JR. WANNAMAKER (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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