DR. WOLFGANG CHRISTOPH KIENZLE (DPM) – Podiatrist, NPI 1407420862
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 PODIATRY in OK
Provider Addresses for DR. WOLFGANG CHRISTOPH KIENZLE (DPM)
3315 Kethley Rd
Shawnee, OK 748049638
Phone: (405) 272-7055
Fax: (405) 272-7059
Type: Location
506 6TH ST
BROOKLYN, NY 112153609
Phone: (718) 780-3000
Type: Mailing
2825 PARKLAWN DR
OKLAHOMA CITY, OK 731104201
Phone: (405) 610-4411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,019.
Total Amount is formed as General ($1,019) + Research ($0) + Ownership ($0) = $1,019.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Integra LifeSciences Corporation ($617).
Total Amount
$1,019
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,019
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $617 |
| Smith+Nephew, Inc. | $188 |
| Nevro Corp. | $142 |
| TREACE MEDICAL CONCEPTS, INC. | $56 |
| PolyNovo North America LLC | $16 |
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: 2024-07-09
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 |
|---|---|---|---|---|
| I20240709000193 | I | Podiatry | OK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Internal Medicine, Pediatric Medicine | OK | |
| U R O L O G Y | OK | |
| Clinical Social Worker | OK | |
| Physician Assistant | OK | |
| Family Practice | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| Family Practice | OK | |
| Family Practice | OK |
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