WAYNE L JR. FARLEY (DO) – Obstetrics & Gynecology Physician, NPI 1093764417
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,164 OBSTETRICS/GYNECOLOGY in TX
Provider Addresses for WAYNE L JR. FARLEY (DO)
18059 HWY 105 WEST
STE 125
MONTGOMERY, TX 77356
Phone: (936) 582-6622
Fax: (936) 582-5695
Type: Mailing
333 N Santa Rosa
San Antonio, TX 782073108
Phone: (210) 704-4100
Type: Location
4199 Gateway Blvd
Newburgh, IN 476308940
Phone: (812) 842-4200
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
642 W HOSPITAL RD
PAOLI, IN 474549672
Phone: (812) 723-7450
Fax: (812) 723-7450
Type: Location
333 N SANTA ROSA
SAN ANTONIO, TX 782073108
Phone: (210) 704-4100
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: 2024-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20041012001516 | I | Obstetrics/Gynecology | TX | TBD |
| I20211014001048 | I | Obstetrics/Gynecology | NV | TBD |
| I20221230000843 | I | Obstetrics/Gynecology | MT | TBD |
| I20240514003137 | I | Obstetrics/Gynecology | IN | TBD |
| I20241205001606 | I | Obstetrics/Gynecology | IL | 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 77356)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| Nurse Practitioner | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | WA |
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