KRISTEN WILKES
NPI 1043553738
Emergency Medicine in Washington, DC

Active since April 01, 2013PECOS EnrolledAccepts Medicare Assignment
95.99/100
CMS Quality Rating
110 IRVING ST NW STE 2A38M, WASHINGTON, DC 20010(202) 877-4677 Get Directions Write a Review

NPPES record last updated: April 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Kristen Wilkes NPPES

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

KRISTEN WILKES (NPI 1043553738) is an individual emergency medicine provider in Washington, District Of Columbia, licensed in New Jersey (25MA10141400) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Medstar Montgomery Medical Center, and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2013).

NPPES Registry Identity

NPI1043553738
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKRISTEN WILKES
Location Address110 IRVING ST NW STE 2A38MWashington, DC 20010-3017
Mailing Address110 Irving St Nw Ste 2a38mWashington, DC 20010-3017 · (202) 877-4677
Sole ProprietorNo
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2013
Enumeration DateApril 1, 2013
Last NPPES UpdateApril 15, 20232 updates tracked since enumeration
NPPES CertifiedApril 15, 2023
NPI 1043553738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NJ · 25MA10141400 Licensed in DC · MD210011516
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
110 IRVING ST NW STE 2A38M, Washington, DC 20010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristen Wilkes 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 ID7113297821
PECOS Enrollment IDI20230913001958
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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
199 services196 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
156 services154 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
57 services56 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

Medstar Montgomery Medical Center

Acute Care Hospitals · Olney, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210018
Location18101 Prince Philip DriveOlney, MD 20832 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Promoting Interoperability100
Improvement Activities40
Cost74.87

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims15 services$119.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Physician Assistant
110 IRVING ST NW STE 2A38M
WASHINGTON, DC 20010
Internal Medicine (Critical Care Medicine)
110 IRVING ST NW STE 2A38M
WASHINGTON, DC 20010
Physician Assistant
110 IRVING ST NW STE 2A38M
WASHINGTON, DC 20010
Emergency Medicine
110 IRVING ST NW STE 2A38M
WASHINGTON, DC 20010
Pediatrics
110 IRVING ST NW STE 2A38M
WASHINGTON, DC 20010
Internal Medicine
110 IRVING ST NW STE 2A38M
WASHINGTON, DC 20010
Anesthesiology
110 IRVING ST NW STE 2A38M
WASHINGTON, DC 20010
Internal Medicine
110 IRVING ST NW STE 2A38M
WASHINGTON, DC 20010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Wilkes's NPI number?

The NPI number for Kristen Wilkes is 1043553738. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Kristen Wilkes located?

Kristen Wilkes practices at 110 Irving St NW Ste 2a38m, Washington, DC 20010. The listed phone number is (202) 877-4677.

What is Kristen Wilkes's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kristen Wilkes enrolled in Medicare?

Yes. Kristen Wilkes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kristen Wilkes affiliated with any hospitals?

According to CMS data, Kristen Wilkes is affiliated with Medstar Montgomery Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Wilkes was last updated on April 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.