DR. MICHAEL LEE WANAMAKER (M.D.) – Anesthesiology Physician, NPI 1760688915

DR. MICHAEL LEE WANAMAKER (M.D.) is a healthcare provider. based in Wichita falls, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. M4636 (TX). The NPI Number for DR. MICHAEL LEE WANAMAKER (M.D.) is 1760688915

Main info

Male
22 Years Of Experience
Name
DR. MICHAEL LEE WANAMAKER (M.D.)
NPI
1760688915
Phone
(940) 239-9136
Address
4000 OLD JACKSBORO HWY
Enumeration Date
25 June 2007
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
9405645521
Graduation Year
2004 (22 years ago)
PAC ID
7416022066
Group Practice PAC ID
9133029077
Professional Enrollment ID
I20080818000281
Address ID
TX763741725OL901XXSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

Provider Addresses for DR. MICHAEL LEE WANAMAKER (M.D.)

  • 4000 OLD JACKSBORO HWY

    WICHITA FALLS, TX 763022134

    Phone: (940) 239-9136

    Fax: (833) 320-1559

    Type: Mailing

  • Bedrock Counseling, 3300, Oak Lawn Avenue, Oak Lawn, Dallas, TX, Dallas, Dallas County, Texas, 75219, United States

    SUITE 200

    DALLAS, TX 752194236

    Phone: (214) 252-3501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $587.

Total Amount is formed as General ($587) + Research ($0) + Ownership ($0) = $587.

Last reported payment date: 2024-07-27 • Largest payer in this snapshot: Boston Scientific Corporation ($489).

Total Amount

$587

General + Research + Ownership

Payments

5

Total payment records

General Amount

$587

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-27

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2008-08-18

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
I20080818000281IAnesthesiologyTXTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope5252$0
00813Anesthesia for procedure on small and large bowel using an endoscope1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1616$0
00812Anesthesia for exam of colon using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 76302)

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Provider's Procedures

DR. MICHAEL LEE WANAMAKER (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYTX00790Anesthesia for procedure in upper abdomen including use of an endoscope1111

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: 9133029077View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NC
Family Practice, Obstetrics/GynecologyTX
Family Practice, Emergency Medicine, Gastroenterology, Obstetrics/Gynecology, Osteopathic Manipulative MedicineTX
Pediatric Medicine, Internal MedicineTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeTX
Family PracticeFL
Orthopedic SurgeryTX
Family Practice, Obstetrics/GynecologyTX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL LEE WANAMAKER (M.D.)?
For DR. MICHAEL LEE WANAMAKER (M.D.), use NPI 1760688915 as the unique 10-digit identifier.
Is there an active status for DR. MICHAEL LEE WANAMAKER (M.D.)?
For scheduling context, DR. MICHAEL LEE WANAMAKER (M.D.) is shown as active in the registry.
What expertise is attributed to DR. MICHAEL LEE WANAMAKER (M.D.)?
DR. MICHAEL LEE WANAMAKER (M.D.)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MICHAEL LEE WANAMAKER (M.D.)?
Directory geography for DR. MICHAEL LEE WANAMAKER (M.D.) centers on Wichita Falls, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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