DR. IAN R POWELL (M.D.) – Addiction Medicine (Internal Medicine) Physician, NPI 1346212545

DR. IAN R POWELL (M.D.) is a healthcare provider. based in Oconomowoc, Wisconsin. specializing in ADDICTION MEDICINE. They hold the professional credentials M.D.. They hold a License No. 39133 (WI). The NPI Number for DR. IAN R POWELL (M.D.) is 1346212545

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. IAN R POWELL (M.D.)
NPI
1346212545
Phone
Not provided
Address
34700 VALLEY RD
Enumeration Date
2 February 2006
Last Update Date
20 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8153636132
Graduation Year
1996 (30 years ago)
PAC ID
3274528591
Group Practice PAC ID
3779656582
Professional Enrollment ID
I20211005003208
Address ID
IL600146288CR422XXCTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

45 ADDICTION MEDICINE in WI

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Provider Addresses for DR. IAN R POWELL (M.D.)

  • Valley Road, Oconomowoc, Waukesha County, Wisconsin, United States

    OCONOMOWOC, WI 530664500

    Phone:

    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 2 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($38).

Total Amount

$56

General + Research + Ownership

Payments

2

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-10-05

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
I20211005003208IAddiction MedicineILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53066)

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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: 3779656582View full group profile
NameSpecialtyState
Mental Health CounselorIL
Nurse PractitionerIL
P S Y C H I A T R YIL
Clinical Social WorkerIL
Mental Health CounselorIL
P S Y C H I A T R YIL
Mental Health CounselorIL
-IL
-IL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

How do I look up DR. IAN R POWELL (M.D.) by NPI?
Use NPI 1346212545 when you need to reference DR. IAN R POWELL (M.D.) in forms, claims, or directories.
Does this profile mean DR. IAN R POWELL (M.D.) is currently active?
Yes — DR. IAN R POWELL (M.D.) appears active in the national provider directory.
What does DR. IAN R POWELL (M.D.) treat or focus on?
Patients typically see DR. IAN R POWELL (M.D.) under the specialty Addiction Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. IAN R POWELL (M.D.)?
We surface Oconomowoc, Wisconsin for DR. IAN R POWELL (M.D.) based on available NPPES addresses.
What if Oconomowoc, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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