KATHLEEN M WELCH-WILSON MD
NPI 1053453878
Family Medicine in Cape Coral, FL

Q: What is Kathleen Welch-wilson's NPI number?

The NPI number for Kathleen Welch-wilson is 1053453878. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Kathleen Welch-wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 12, 2007PECOS Enrolled

78.8/100

CMS Quality Rating

1407 VISCAYA PKWY STE 2, CAPE CORAL, FL 33990(239) 772-0111(239) 772-0267 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2023, Jan 25, 2023, Feb 26, 2020 and 1 more (4 updates tracked since 2017).

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About Kathleen M Welch-wilson Md NPPES

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

KATHLEEN M WELCH-WILSON MD (NPI 1053453878) is an individual family medicine provider in Cape Coral, Florida, licensed in Florida (ME47118) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sarasota.

NPPES Registry Identity

NPI1053453878

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKATHLEEN M WELCH-WILSONCredential: MD

Location Address1407 VISCAYA PKWY STE 2Cape Coral, FL 33990-6200

Mailing AddressPo Box 947407Atlanta, GA 30394-7407 · (941) 917-2600 · Fax (941) 917-7884

Phone(239) 772-0111

Fax(239) 772-0267

Sole ProprietorNo

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJanuary 30, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2023

✔ NPI 1053453878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME47118✔ Licensed in FL · ME0047118

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1407 VISCAYA PKWY STE 2, Cape Coral, FL 33990

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Secondary Practice Location 1

Location 11515 S Osprey Ave Ste A1Sarasota, FL 34239-2933 · Phone (941) 917-7197 · Fax (941) 917-4016

Other Identifiers 2

OtherP01694655FL · Rr Medicare

Medicaid048012600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen M Welch-wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kathleen Welch-wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

M & H Med Housecalls, LLC

8.3 mi

Internal Medicine

13607 PINE VILLA LN
Fort Myers, FL 33912

Reassigned Medicare billing, Florida enrollment
44 clinicians in this Medicare group

NPI 1427548304 (239) 772-0111

Smh Physician Services Inc

59 mi

Internal Medicine

1700 S TAMIAMI TRL, 1ST FLOOR FPG ADMINISTRATION
Sarasota, FL 34239

Reassigned Medicare billing, Florida enrollment
956 clinicians in this Medicare group

NPI 1346295292 (941) 917-8720

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 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

500 services161 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

92 services82 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

77 services46 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

66 services39 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

42 services42 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33990 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

78.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.37

Promoting Interoperability

Improvement Activities

Cost

50.81

Referred Medical Equipment & Supplies CMS DME claims 4

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

Walker, with trunk support, adjustable or fixed height, any type E0140

DME-Other DME · category DE000N

1 supplier13 claims13 services$17.27 avg. paid by Medicare

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

3 suppliers13 claims13 services$77.43 avg. paid by Medicare

Manual wheelchair accessory, wheel braking system and lock, complete, each E2228

DME-Wheelchairs · category DD021N

1 supplier15 claims28 services$52.78 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier15 claims15 services$15.74 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 8

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

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Nurse Practitioner (Family)