Active NPI 1972508968 Individual Practitioner Male Practitioner

Dr. Keenan C. Wanamaker , DO

Surgery - Vascular Surgery • Montgomery, AL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Keenan Wanamaker, DO is a certified Surgery - Vascular Surgery practicing in Montgomery, AL. With approximately 31 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 1995, Dr. Wanamaker delivers high-quality medical care to the local community at 7085 SYDNEY CURV.

Dr. Wanamaker is affiliated with Lakeside Heart And Vascular Center Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7085 Sydney Curv

Montgomery, AL 361173509

Telephone 3342464774

Fax 3342462450

Associated Practice Facility / Clinic

🏢 Montgomery Cancer Center Llc Facility NPI 1447452198

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Montgomery, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +11.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

11 Specialists

Practicing in Montgomery, AL (65 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

55.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wanamaker (31 Years) 31 Yrs

Montgomery Specialty Average (19.4 Years) 19.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	213	$255.00	$124.30
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	193	61	$3699.00	$1580.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	163	163	$221.00	$107.48
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	148	59	$250.00	$114.65
93970 Ultrasound study of arm or leg veins with compression and maneuvers	110	96	$383.00	$179.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$331.00	$161.38
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$180.00	$88.13
93923 Complete ultrasound study of arm and leg arteries	40	35	$258.00	$124.59
93925 Ultrasound of leg arteries or artery grafts	29	25	$497.00	$231.17
93880 Ultrasound of both sides of head and neck blood flow	25	24	$390.00	$182.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$357.00	$174.42
36222 Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation	18	17	$600.00	$306.57
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$29.00	$13.85
75716 Review by radiologist of both arms or legs arteries image	15	14	$187.00	$87.53
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	15	12	$166.00	$78.28
75625 Radiological supervision and interpretation X-ray of abdominal aorta	15	15	$135.00	$63.96
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	13	13	$1962.00	$837.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$200.00	$105.89
93922 Ultrasound study of arm and leg arteries	68	33	$100.00	$32.20
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$120.00	$86.13
93880 Ultrasound of both sides of head and neck blood flow	42	20	$212.50	$90.22
93925 Ultrasound of leg arteries or artery grafts	40	20	$267.50	$114.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$280.00	$158.82
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	23	21	$150.00	$78.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$175.00	$122.06
75625 Radiological supervision and interpretation X-ray of abdominal aorta	21	20	$101.00	$64.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$80.00	$53.31
75716 Review by radiologist of both arms or legs arteries image	20	18	$146.00	$88.66
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	17	$35.00	$17.58
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	17	16	$1800.00	$276.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$275.00	$127.92
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	11	11	$775.00	$243.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	61	$132.42	$89.25
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	75	30	$3947.95	$1842.80
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	64	24	$239.00	$121.58
93970 Ultrasound study of arm or leg veins with compression and maneuvers	42	37	$383.64	$191.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$181.00	$120.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$281.23	$164.44
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	21	14	$3115.00	$1486.99
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	12	$187.76	$57.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$154.00	$108.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	30	$147.00	$75.15
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	73	23	$239.00	$121.28
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	69	21	$4149.00	$1899.73
93970 Ultrasound study of arm or leg veins with compression and maneuvers	42	30	$389.00	$194.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$334.00	$165.08
36465 Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	23	12	$3115.00	$1509.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	32	$72.94	$56.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$107.77	$82.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	22	$31.24	$25.90
76937 Ultrasonic guidance for blood vessel access	26	17	$38.48	$14.44
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$64.44	$52.09
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	16	$104.00	$12.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$251.99	$139.57
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	16	11	$104.00	$12.34
76937 Ultrasonic guidance for blood vessel access	15	12	$38.48	$14.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$127.92	$71.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93990 Ultrasound of dialysis access	185	172	$278.00	$132.33
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	94	88	$10.00	$0.12
J3010 Injection, fentanyl citrate, 0.1 mg	92	87	$1.00	$0.55
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	92	87	$101.04	$49.93
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	82	47	$20.94	$10.54
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	50	48	$2467.00	$1183.97
93923 Complete ultrasound study of arm and leg arteries	42	42	$139.34	$84.58
93925 Ultrasound of leg arteries or artery grafts	40	40	$521.00	$254.54
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	26	26	$1184.00	$569.35
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	25	13	$254.00	$120.51
36907 Balloon dilation of dialysis segment with review by radiologist	22	22	$1493.00	$730.86
93970 Ultrasound study of arm or leg veins with compression and maneuvers	16	16	$391.00	$172.03
36589 Removal of central venous catheter for infusion	15	15	$325.00	$161.04
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	11	$166.00	$81.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	55	51	$75.00	$37.62
93880 Ultrasound of both sides of head and neck blood flow	44	44	$63.00	$43.38
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	25	24	$48.00	$23.69
93923 Complete ultrasound study of arm and leg arteries	25	25	$48.00	$24.71
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$135.00	$74.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	17	$203.00	$113.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	17	$42.00	$21.05
93922 Ultrasound study of arm and leg arteries	12	12	$143.50	$13.95

Medical Specialties & State Licenses

CMS Verified: 2021-05-10

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License AZ 3721

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License AZ 3721

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License AL DO-900

Hospital & Practice Group Affiliations

Lakeside Heart And Vascular Center Pllc

2082 Mesquite Ave, Lake Havasu City, AZ 864036710

Phone: 9284532727

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Connie Nettles , CRNP

Nurse Practitioner

NPI 1215662705

Certified Registered Nurse Practitioner

Reagan Owens , APRN

Nurse Practitioner

NPI 1659077709

Advanced Practice Registered Nurse

Dr. Brian Sellers , DO

Surgery - Vascular Surgery

NPI 1801916788

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location May 10, 2021

Registered at 7085 SYDNEY CURV, MONTGOMERY, AL 361173509 (Tel: 3342464774)

📍

Updated Business Mailing Address May 10, 2021

Registered at 7085 SYDNEY CURV, MONTGOMERY, AL 361173509 (Tel: 3342464774)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2021

Surgery (License #DO-900 in AL)

📍

Updated Practice Location April 15, 2020

Registered at 1010 E MCDOWELL RD STE 103, PHOENIX, AZ 850062607 (Tel: 8009916117)

📍

Updated Business Mailing Address April 15, 2020

Registered at 3810 NORTHDALE BLVD STE 150, TAMPA, FL 336241871 (Tel: 8139611331)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2018

Surgery (License #3721 in AZ)

✅

NPI Profile Active May 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2016

Registered at 210 S MAIN ST, STE 2, SHELBYVILLE, TN 371603906 (Tel: 9316851581)

📍

Updated Business Mailing Address May 24, 2016

Registered at 200 CARAWAY DR, STE B1, WINFIELD, AL 355945048 (Tel: 2054877541)

👤

Provider Name / Credentials Updated May 24, 2016

Recorded as KEENAN WANAMAKER, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2016

Surgery (License #DO-900 in AL)

🟢

Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1972508968

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2005

Last Update: May 10, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7085 Sydney Curv

Montgomery, AL 361173509

Phone: 3342464774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.