DR. LARRY J. WAPIENNIK D.P.M.
NPI 1497806848
Podiatrist - Foot & Ankle Surgery in Crown Point, IN

NPI Status: Active since January 14, 2007

Contact Information

11406 BROADWAY
CROWN POINT, IN
ZIP 46307
Phone: (219) 663-7737
Fax: (219) 663-7733

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  • Individual
  • Male
  • Years of Experience 46
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LARRY WAPIENNIK

This page provides the complete NPI Profile along with additional information for Larry Wapiennik, a provider established in Crown Point, Indiana with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 46 years of experience. He graduated from William M. Scholl College Of Podiatric Medicine in 1980. The healthcare provider is registered in the NPI registry with number 1497806848 assigned on January 2007. The practitioner's primary taxonomy code is 213ES0103X with license number 07000451A (IN). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1497806848
Provider Name
DR. LARRY J. WAPIENNIK D.P.M.
Gender
Male
Entity Type
Individual
Location Address
11406 BROADWAY CROWN POINT, IN 46307
Location Phone
(219) 663-7737
Location Fax
(219) 663-7733
Mailing Address
11406 BROADWAY CROWN POINT, IN 46307
Mailing Phone
(219) 663-7737
Mailing Fax
(219) 663-7733
Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year
1980
Is Sole Proprietor?
Yes
Enumeration Date
01-14-2007
Last Update Date
06-04-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
07000451A
License State
IN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
704720MEDICARE PIN (08)IN 
000000086346OTHER (01)INANTHEM
000000086347OTHER (01)INANTHEM
480014055OTHER (01)INRAILROAD MEDICARE
T34984MEDICARE UPIN (02)IN 
8615234002OTHER (01)INCIGNA
90001028OTHER (01)INBLUE CROSS BLUE SHIELD IL

Medicare Participation & PECOS Enrollment Status

Larry Wapiennik is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Larry Wapiennik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 941339097

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100527000481

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 136 times for 65 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 43 times for 43 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 13 times for 11 patients

Reviews for DR. LARRY J. WAPIENNIK D.P.M.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497806848
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871601288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 6 + 0 + 1 + 2 + 8 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1497806848 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740334150DR. LARRY JOHN WAPIENNIK II D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)11406 BROADWAY
CROWN POINT, IN 46307
(219) 663-7737
1871812248LARRY J. WAPIENNIK, DPM, PC
Organization
Podiatrist (Foot & Ankle Surgery)11406 BROADWAY
CROWN POINT, IN 46307
(219) 663-7737

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497806848, enumerated in the NPI registry as an "individual" on January 14, 2007

The provider is located at 11406 Broadway Crown Point, In 46307 and the phone number is (219) 663-7737

The provider's speciality is Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider has more than 46 years of experience. He graduated from William M. Scholl College Of Podiatric Medicine in 1980.

The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, New patient office or other outpatient visit, 30-44 minutes and X-ray of foot, minimum of 3 views.

This NPI record was last updated on January 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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