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JEFFREY B WILPS DPM
NPI 1063412401
Podiatrist - Foot & Ankle Surgery in Weirton, WV

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
362 AMERICAN WAY STE 1, WEIRTON, WV 26062(740) 264-4200(740) 264-9403 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeffrey B Wilps Dpm NPPES

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

JEFFREY B WILPS DPM (NPI 1063412401) is an individual foot & ankle surgery provider in Weirton, West Virginia, licensed in West Virginia (238) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Weirton Medical Center, Inc, and maintains a secondary practice location in Weirton.

NPPES Registry Identity

NPI1063412401
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameJEFFREY B WILPSCredential: DPM
Location Address362 AMERICAN WAY STE 1Weirton, WV 26062-4031
Mailing AddressPo Box 779Morgantown, WV 26507-0779 · (304) 797-6200 · Fax (304) 797-6306
Phone(740) 264-4200
Fax(740) 264-9403
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 1987
Enumeration DateJuly 28, 2005
Last NPPES UpdateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1063412401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in WV · 238✔ Licensed in PA · SC0031702✔ Licensed in OH · 36002849W
362 AMERICAN WAY STE 1, Weirton, WV 26062
Open in Google Maps ↗

Secondary Practice Location 1

Location 13747 Main StWeirton, WV 26062-5309 · Phone (304) 797-0190 · Fax (304) 797-1187

Other Identifiers 3

Other480030330Railroad Medicare
Medicaid0099550000WV
Medicaid0757122OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jeffrey B Wilps Dpm 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 ID4789627159
PECOS Enrollment IDI20100318000621, I20120103000357
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

2

Medicare enrollment records show Jeffrey Wilps reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Foot And Ankle Care PLLC
0.1 mi
Foot & Ankle Surgery
362 AMERICAN WAY, SUITE 1
Weirton, WV 26062
  • Reassigned Medicare billing, Ohio and West Virginia enrollments
  • 2 clinicians in this Medicare group
NPI 1154794097 (304) 797-0190
Wmc Physician Practices LLC
3.2 mi
Internal Medicine
560 STEUBENVILLE PIKE
Burgettstown, PA 15021
  • Reassigned Medicare billing, West Virginia enrollment
  • 131 clinicians in this Medicare group
NPI 1518303288 (304) 797-6557

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 15

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
657 services291 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
161 services100 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
122 services38 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.
114 services34 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
95 services26 patients
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.
80 services61 patients

Hospital Affiliations CMS Care Compare

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

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers14 claims28 services$57.63 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
3 suppliers11 claims64 services$25.05 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers12 claims396 services$6.58 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

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

DR. ALLISON SU SELLERS DPM
Podiatrist (Foot & Ankle Surgery)
362 AMERICAN WAY STE 1
WEIRTON, WV 26062
Hancock County (740) 264-4200

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 Jeffrey Wilps's NPI number?

The NPI number for Jeffrey Wilps is 1063412401. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Jeffrey Wilps located?

Jeffrey Wilps practices at 362 American Way Ste 1, Weirton, WV 26062. The listed phone number is (740) 264-4200.

What is Jeffrey Wilps's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jeffrey Wilps enrolled in Medicare?

Yes. Jeffrey Wilps 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.

Which organizations bill Medicare for Jeffrey Wilps's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Wilps reassigns Medicare benefits to 2 organizations: Valley Foot And Ankle Care PLLC (Weirton, WV) and Wmc Physician Practices LLC (Burgettstown, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Wilps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Wilps accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Jeffrey Wilps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeffrey Wilps affiliated with any hospitals?

According to CMS data, Jeffrey Wilps is affiliated with Weirton Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Jeffrey Wilps was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.