EDWARD WRENN WOOTEN (MD) – Diagnostic Radiology Physician, NPI 1144217373

EDWARD WRENN WOOTEN (MD) is a healthcare provider. based in Plano, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. L4179 (TX). The NPI Number for EDWARD WRENN WOOTEN (MD) is 1144217373

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD WRENN WOOTEN (MD)
NPI
1144217373
Phone
(972) 867-7862
Address
1820 PRESTON PARK BLVD
Enumeration Date
3 October 2005
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4795218200
Graduation Year
1997 (29 years ago)
PAC ID
7416027107
Group Practice PAC ID
3678542073
Professional Enrollment ID
I20230828001606
Address ID
AR727034057FA3344XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for EDWARD WRENN WOOTEN (MD)

  • 1820, Preston Park Boulevard, Plano, Collin County, Texas, 75252, United States

    1825

    PLANO, TX 750933656

    Phone: (972) 867-7862

    Fax: (972) 612-1623

    Type: Mailing

  • Medical City Plano, 3901, West 15th Street, Plano, Collin County, Texas, 75075, United States

    PLANO, TX 750757738

    Phone: (972) 596-6800

    Type: Location

  • 3344 N FUTRALL DR

    FAYETTEVILLE, AR 727034057

    Phone: (479) 443-5316

    Type: Location

  • PO BOX 1523

    FAYETTEVILLE, AR 727021523

    Phone: (479) 571-6038

    Fax: (479) 582-0222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: CSL Behring ($38).

Total Amount

$113

General + Research + Ownership

Payments

6

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

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: 2023-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080606000609IDiagnostic RadiologyTXTBD
I20230828001606IDiagnostic RadiologyARTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml2,20011$0
71045X-ray of chest, 1 view1,5431,226$0
70450Ct scan head or brain without contrast326315$0
74018X-ray of abdomen, 1 view252207$0
71046X-ray of chest, 2 views158158$0
View full utilization report →

Insurance plans in this area (ZIP 75093)

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Provider's Procedures

EDWARD WRENN WOOTEN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71010X-ray of chest, 1 view, front12201100
DIAGNOSTIC RADIOLOGYTX71250CT scan chest6666
DIAGNOSTIC RADIOLOGYTX73562X-ray of knee, 3 views7062
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views4840
DIAGNOSTIC RADIOLOGYTX93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4949

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: 3678542073View full group profile
NameSpecialtyState
E N D O C R I N O L O G YAR
Internal MedicineAR
Diagnostic RadiologyAR
-AR
Family PracticeAR
-AR
Pulmonary Disease, Critical Care (Intensivists)AR
-AR
Diagnostic RadiologyOK
-AR

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Frequently asked questions

How do I look up EDWARD WRENN WOOTEN (MD) by NPI?
Use NPI 1144217373 when you need to reference EDWARD WRENN WOOTEN (MD) in forms, claims, or directories.
Is EDWARD WRENN WOOTEN (MD)'s NPI currently valid?
The extract we use shows EDWARD WRENN WOOTEN (MD) as active.
What does EDWARD WRENN WOOTEN (MD) treat or focus on?
Patients typically see EDWARD WRENN WOOTEN (MD) under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does EDWARD WRENN WOOTEN (MD) practice in Texas?
You will see Plano, Texas on file for EDWARD WRENN WOOTEN (MD) alongside any extra practice locations.
How can I contact EDWARD WRENN WOOTEN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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