DR. JOHN EMIL WENNERGREN (M.D.) – Surgery Physician, NPI 1053545434
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
238 GENERAL SURGERY in UT
Provider Addresses for DR. JOHN EMIL WENNERGREN (M.D.)
3550 N UNIVERSITY AVE STE 250
PROVO, UT 846046695
Phone: (801) 374-9625
Type: Mailing
800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States
OFFICE C225
LEXINGTON, KY 405360293
Phone: (859) 323-6346
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $6,342.
Total Amount is formed as General ($6,342) + Research ($0) + Ownership ($0) = $6,342.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,700).
Total Amount
$6,342
General + Research + Ownership
Payments
36
Total payment records
General Amount
$6,342
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $5,700 |
| Davol Inc. | $337 |
| TELA Bio, Inc. | $182 |
| Takeda Pharmaceuticals U.S.A., Inc. | $72 |
| Ethicon US, LLC | $21 |
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: 2015-08-06
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 |
|---|---|---|---|---|
| I20150806012634 | I | General Surgery | UT | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 62 | 30 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 41 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 20 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 27 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 84604)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| General Surgery | UT | |
| General Surgery | OR | |
| Nurse Practitioner | UT | |
| - | UT | |
| Physician Assistant | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.