KENNON D WIGLEY (MD) – Cardiovascular Disease Physician, NPI 1215904495
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX
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Provider Addresses for KENNON D WIGLEY (MD)
2700, East 29th Street, Bryan, Brazos County, Texas, 77802, United States
SUITE 220
BRYAN, TX 77802
Phone: (979) 774-4008
Fax: (979) 774-7893
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 169 Open Payments records for all available years, with a total value of $2,785.
Total Amount is formed as General ($2,785) + Research ($0) + Ownership ($0) = $2,785.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($515).
Total Amount
$2,785
General + Research + Ownership
Payments
169
Total payment records
General Amount
$2,785
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $515 |
| Amgen Inc. | $382 |
| Medtronic, Inc. | $305 |
| Baxter Healthcare | $253 |
| Kestra Medical Technology Services, Inc. | $145 |
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: 2010-11-16
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 |
|---|---|---|---|---|
| I20101116001008 | I | Cardiovascular Disease (Cardiology) | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,948 | 955 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 1,178 | 870 | $0 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 1,068 | 114 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 1,063 | 115 | $0 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 1,056 | 113 | $0 |
Insurance plans in this area (ZIP 77802)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 11 | 11 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 403 | 316 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 41 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TX |
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