DR. PAMELA MARIE DEWILDE DO (AS OF 6/17/18)
NPI 1003305533
Neuromusculoskeletal Medicine & OMM in Lewisburg, WV

Q: What is Pamela Dewilde's NPI number?

The NPI number for Pamela Dewilde is 1003305533. It was assigned to this individual provider in the NPPES registry on May 10, 2018. The provider is also known as Pamela Marie Kelso.

Q: What is Pamela Dewilde's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Dewilde was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2018PECOS EnrolledAccepts Medicare Assignment

1464 JEFFERSON ST N, LEWISBURG, WV 24901(304) 645-3220(844) 479-4545 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2022, Nov 29, 2021, May 10, 2018 (3 updates tracked since 2018).

On this page

About Dr. Pamela Marie Dewilde Do (as Of 6/17/18) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAMELA MARIE DEWILDE DO (AS OF 6/17/18) (NPI 1003305533) is an individual neuromusculoskeletal medicine & omm provider in Lewisburg, West Virginia, licensed in West Virginia (3647) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Camc Greenbrier Valley Medical Center, Inc, and maintains a secondary practice location in Ronceverte.

NPPES Registry Identity

NPI1003305533

Entity TypeIndividualFemale

Primary Taxonomy204D00000X

Provider Legal NameDR. PAMELA MARIE DEWILDECredential: DO (AS OF 6/17/18)

Location Address1464 JEFFERSON ST NLewisburg, WV 24901-1380

Mailing Address1464 Jefferson St NLewisburg, WV 24901-1380 · (304) 645-3220 · Fax (844) 479-4545

Phone(304) 645-3220

Fax(844) 479-4545

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2018

Enumeration DateMay 10, 2018

Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2022

✔ NPI 1003305533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in WV · 3647

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

1464 JEFFERSON ST N, Lewisburg, WV 24901

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Other Names 1

Former Name (1)Pamela Marie Kelso

Secondary Practice Location 1

Location 11320 Maplewood AveRonceverte, WV 24970-8016 · Phone (304) 647-4411

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pamela Marie Dewilde Do (as Of 6/17/18) is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335537430

PECOS Enrollment IDI20211021002933

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Pamela Dewilde reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia School Of Osteopathic Medicine Clinic Inc D/B/A Robert C. Byrd Clinic

Same address

Family Medicine

1464 JEFFERSON ST N
Lewisburg, WV 24901

Reassigned Medicare billing, West Virginia enrollment
Medicare enrollment name: West Virginia School Of Osteopathic Medicine Clinic Inc
Also billed through NPI 1013496991 (West Virginia)
43 clinicians in this Medicare group

NPI 1871539296 (304) 645-3220

Evolutionary Healthcare West Virginia PLLC

93 mi

Neuromusculoskeletal Medicine & OMM

3006 MOUNT VERNON RD STE 1075
Hurricane, WV 25526

Reassigned Medicare billing, West Virginia enrollment
6 clinicians in this Medicare group

NPI 1053286815 (321) 387-9451

Ballout International PLLC

701 mi

Internal Medicine

1931 19TH PL
Vero Beach, FL 32960

Reassigned Medicare billing, West Virginia enrollment
3 clinicians in this Medicare group

NPI 1629554225 (321) 387-9451

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

38 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

36 services26 patients

Osteopathic manipulative treatment, 5-6 body regions 98927

Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.

29 services22 patients

Osteopathic manipulative treatment, 3-4 body regions 98926

Osteopathic Manipulative Treatment (OMT) is a hands-on method where a doctor uses specific techniques to diagnose, treat, and prevent illness or injury. For 3-4 body regions, the doctor focuses on areas like your head, neck, back, or limbs to improve function and promote healing.

19 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number510002

Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER NICOLE ROSE D.O.

Family Medicine