WILLIAM JOSEPH KINDERKNECHT (DO) – Family Medicine Physician, NPI 1821407644

WILLIAM JOSEPH KINDERKNECHT (DO) is a healthcare provider. based in Wilburton, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5862 (OK). The NPI Number for WILLIAM JOSEPH KINDERKNECHT (DO) is 1821407644

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM JOSEPH KINDERKNECHT (DO)
NPI
1821407644
Phone
(918) 421-6795
Address
806 HIGHWAY 2 N
Enumeration Date
6 August 2014
Last Update Date
21 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087566000
Graduation Year
2014 (12 years ago)
PAC ID
6406154863
Group Practice PAC ID
7416860440
Professional Enrollment ID
I20240830001805
Address ID
WI535482940JA1000XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

Provider Addresses for WILLIAM JOSEPH KINDERKNECHT (DO)

  • 806 HIGHWAY 2 N

    SUITE 301A

    WILBURTON, OK 745783625

    Phone: (918) 421-6795

    Fax: (918) 421-6791

    Type: Mailing

  • 4 E. CLARK BASS BLVD.

    SUITE 301A

    MCALESTER, OK 74501

    Phone: (918) 421-6795

    Fax: (918) 421-6791

    Type: Location

  • 4 E. Clark Bass Blvd.

    Suite 301A

    McAlester, OK 74501

    Phone: (918) 421-6795

    Fax: (918) 421-6791

    Type: Location

  • 29624 NETWORK PL

    CHICAGO, IL 606731296

    Phone: (608) 741-2430

    Fax: (608) 741-2428

    Type: Mailing

  • 1000 MINERAL POINT AVE

    JANESVILLE, WI 535482982

    Phone: (608) 756-6868

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-09-08 • Largest payer in this snapshot: ABBVIE INC. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$24
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: 2024-08-30

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
I20240830001805IFamily PracticeWITBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only13375$0
99284Emergency department visit with moderate level of medical decision making122113$0
99285Emergency department visit with high level of medical decision making5655$0
99283Emergency department visit with low level of medical decision making3636$0
View full utilization report →

Insurance plans in this area (ZIP 74578)

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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: 7416860440View full group profile

Reviews

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Frequently asked questions

Is WILLIAM JOSEPH KINDERKNECHT (DO) listed with a National Provider Identifier?
Yes — WILLIAM JOSEPH KINDERKNECHT (DO) has NPI 1821407644 on file in the registry.
Would WILLIAM JOSEPH KINDERKNECHT (DO) appear as active to a payer?
You can treat WILLIAM JOSEPH KINDERKNECHT (DO) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to WILLIAM JOSEPH KINDERKNECHT (DO)?
WILLIAM JOSEPH KINDERKNECHT (DO)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WILLIAM JOSEPH KINDERKNECHT (DO)?
Travel planning: use Wilburton, Oklahoma as the reference point for WILLIAM JOSEPH KINDERKNECHT (DO), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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