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Deactivated NPI 1689612970 Deactivated / Inactive NPI Male Practitioner

Dr. William C Dewolf , MD

Urology • Boston, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Dewolf has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2006
NPI Deactivation Date August 02, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. William Dewolf, MD was a registered Urology practicing in Boston, MA. Throughout an active medical career spanning 15 years, Dr. Dewolf provided care at the practice location at 330 BROOKLINE AVENUE until profile deactivation on 2021-08-02.

Historical Medicare Part B clinical services included established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope, manual urinalysis test with examination using microscope, non-automated. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

330 Brookline Avenue
Beth Israel Deaconess Medical Center

Boston, MA 02215

Telephone 6176678903

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 29.9 Yrs
Regional Practice Density
117 Specialists

Practicing in Boston, MA (396 Statewide)

Telehealth Adoption Rate
48.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
40 40 $167.00 $55.25
52000 Diagnostic exam of bladder and urethra using an endoscope
32 32 $350.63 $89.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
30 30 $258.00 $84.94

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MA 40264

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Pamela Fallon , MS, RN, ANP

Nurse Practitioner - Adult Health

NPI 1427170398

Master of Science, Registered Nurse, Adult Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 02, 2021

Record deactivated on August 02, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 330 BROOKLINE AVENUE, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON, MA 02215 (Tel: 6176678903)

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Updated Business Mailing Address July 08, 2007

Registered at 12 LATISQUAMA RD, SOUTHBOROUGH, MA 017721607 (Tel: 6176678903)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM DEWOLF, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #40264 in MA)

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Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689612970
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: July 08, 2007
Deactivation Date: August 02, 2021

Mailing Address

12 Latisquama Rd

Southborough, MA 017721607

Phone: 6176678903

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.