KEVIN KEITH WOISARD (MD) – Diagnostic Radiology Physician, NPI 1174636377

KEVIN KEITH WOISARD (MD) is a healthcare provider. based in Newport news, Virginia. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. 0101044647 (VA). The NPI Number for KEVIN KEITH WOISARD (MD) is 1174636377

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN KEITH WOISARD (MD)
NPI
1174636377
Phone
(757) 867-6101
Address
PO BOX 12127
Enumeration Date
15 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
7579847911
Graduation Year
1983 (43 years ago)
PAC ID
8628259405
Group Practice PAC ID
2769463702
Professional Enrollment ID
I20110228000273
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KEVIN KEITH WOISARD (MD)

  • PO BOX 12127

    NEWPORT NEWS, VA 236122127

    Phone: (757) 867-6101

    Fax: (757) 867-6587

    Type: Mailing

  • Sentara CarePlex Hospital, 3000, Coliseum Drive, Hampton City, Virginia, 23666, United States

    SENTARA CAREPLEX HOSPITAL

    HAMPTON, VA 23666

    Phone: (757) 736-1621

    Fax: (757) 827-6748

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2023-05-04 • Largest payer in this snapshot: LEICA MICROSYSTEMS INC. ($115).

Total Amount

$115

General + Research + Ownership

Payments

1

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LEICA MICROSYSTEMS INC.$115
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: 2011-02-28

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
I20110228000273IDiagnostic RadiologyVATBD

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
77063Screening 3d breast mammography781781$0
77067Screening mammography781781$0
77080Dxa bone density measurement of hip, pelvis, spine240240$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)9895$0
77065Diagnostic mammography of 1 breast8180$0
View full utilization report →

Insurance plans in this area (ZIP 23612)

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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: 2769463702View full group profile
NameSpecialtyState
-VA

Reviews

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Frequently asked questions

What is KEVIN KEITH WOISARD (MD)'s NPI number?
KEVIN KEITH WOISARD (MD)'s NPI is 1174636377 — the number used across U.S. healthcare to identify this provider.
Is KEVIN KEITH WOISARD (MD) still an active registrant?
KEVIN KEITH WOISARD (MD) carries an active NPI according to the public dataset.
What kind of doctor is KEVIN KEITH WOISARD (MD)?
KEVIN KEITH WOISARD (MD) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Virginia is KEVIN KEITH WOISARD (MD) registered?
Use Newport News, Virginia as the headline location for KEVIN KEITH WOISARD (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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