MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C) – Physician Assistant, NPI 1790823045

MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS PAS, PA-C. They hold a License No. 1865-23 (WI). The NPI Number for MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C) is 1790823045

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C)
NPI
1790823045
Phone
(414) 431-5004
Address
8500 W CAPITOL DR STE 100
Enumeration Date
1 February 2007
Last Update Date
18 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4144315004
Graduation Year
2004 (22 years ago)
PAC ID
1355362179
Group Practice PAC ID
0648220244
Professional Enrollment ID
I20051208000415
Address ID
WI532221869MI8500XDRXX405
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

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Provider Addresses for MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C)

  • 100, West Capitol Drive, Estabrook Park, Milwaukee, Milwaukee County, Wisconsin, 53212, United States

    MILWAUKEE, WI 532221869

    Phone: (414) 431-5004

    Fax: (414) 431-2959

    Type: Location

  • 1214, Oriole Drive, Oconomowoc, Waukesha County, Wisconsin, 53066, United States

    OCONOMOWOC, WI 530662373

    Phone: (414) 759-4111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 110 Open Payments records for all available years, with a total value of $2,177.

Total Amount is formed as General ($2,177) + Research ($0) + Ownership ($0) = $2,177.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($517).

Total Amount

$2,177

General + Research + Ownership

Payments

110

Total payment records

General Amount

$2,177

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2005-12-08

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
I20051208000415IPhysician AssistantWITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes5819$0
82962Blood glucose (sugar) test performed by hand-held instrument3612$0
99214Established patient office or other outpatient visit, 30-39 minutes2417$0
36415Insertion of needle into vein for collection of blood sample1312$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 53222)

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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: 0648220244View full group profile
NameSpecialtyState
Nurse PractitionerWI
Emergency Medicine, Hospitalist, Internal MedicineWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Where can patients find MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C)'s NPI?
You can confirm MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C) with NPI 1790823045; it appears in the national provider directory.
Is MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C)'s NPI currently valid?
The extract we use shows MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C) as active.
Does MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C)?
The snapshot lists Milwaukee, Wisconsin for MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C); download NPPES for the complete set.
Is MR. DOUGLAS JEROME WOIDA (MS PAS, PA-C) a real provider?
This page reflects official NPPES data for NPI 1790823045. Always confirm identity and privileges with the practice and licensing boards.

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