DR. CRAIG MAHLON WOMELDORPH (DO) – Gastroenterology Physician, NPI 1649274135

DR. CRAIG MAHLON WOMELDORPH (DO) is a healthcare provider. based in San antonio, Texas. specializing in GASTROENTEROLOGY. They hold the professional credentials DO. They hold a License No. 156841 (MA). The NPI Number for DR. CRAIG MAHLON WOMELDORPH (DO) is 1649274135

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. CRAIG MAHLON WOMELDORPH (DO)
NPI
1649274135
Phone
(210) 916-1869
Address
3551 ROGER BROOKE DR
Enumeration Date
13 June 2005
Last Update Date
9 January 2024

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8174241525
Graduation Year
1997 (29 years ago)
PAC ID
5193899037
Group Practice PAC ID
3375531379
Professional Enrollment ID
I20180412001925
Address ID
TX760929167SO505XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,498 GASTROENTEROLOGY in TX

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Provider Addresses for DR. CRAIG MAHLON WOMELDORPH (DO)

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    SAN ANTONIO MILITARY MEDICAL CENTER

    SAN ANTONIO, TX 782344504

    Phone: (210) 916-1869

    Type: Mailing

  • 6317 HARRIS PKWY STE 300

    FORT WORTH, TX 761324258

    Phone: (817) 361-6900

    Fax: (817) 522-1968

    Type: Location

  • PO BOX 35629

    DALLAS, TX 752350629

    Phone: (214) 424-2200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 154 Open Payments records for all available years, with a total value of $3,206.

Total Amount is formed as General ($3,206) + Research ($0) + Ownership ($0) = $3,206.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($997).

Total Amount

$3,206

General + Research + Ownership

Payments

154

Total payment records

General Amount

$3,206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-17

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: 2018-04-12

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
I20180412001925IGastroenterologyTXTBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare8079$0
99213Established patient office or other outpatient visit, 20-29 minutes7368$0
99204New patient office or other outpatient visit, 45-59 minutes6868$0
45380Biopsy of large bowel using a flexible endoscope6161$0
99214Established patient office or other outpatient visit, 30-39 minutes5347$0
View full utilization report →

Insurance plans in this area (ZIP 78234)

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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: 3375531379View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineTX
Nurse PractitionerTX
Gastroenterology, Internal MedicineND
Internal Medicine, GastroenterologyTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YLA
G A S T R O E N T E R O L O G YTX
Gastroenterology, Internal MedicineTX

Reviews

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Frequently asked questions

How do payers reference DR. CRAIG MAHLON WOMELDORPH (DO)?
For DR. CRAIG MAHLON WOMELDORPH (DO), use NPI 1649274135 as the unique 10-digit identifier.
Is DR. CRAIG MAHLON WOMELDORPH (DO) still an active registrant?
DR. CRAIG MAHLON WOMELDORPH (DO) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. CRAIG MAHLON WOMELDORPH (DO)?
At a glance, DR. CRAIG MAHLON WOMELDORPH (DO) is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CRAIG MAHLON WOMELDORPH (DO)?
Directory geography for DR. CRAIG MAHLON WOMELDORPH (DO) centers on San Antonio, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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