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MATTHEW WILHELM PA-C
NPI 1093263105
Physician Assistant in Albuquerque, NM

Active since September 18, 2016PECOS EnrolledAccepts Medicare Assignment
93.54/100
CMS Quality Rating
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-2111 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, Jan 2, 2024, Nov 21, 2022 and 2 more (5 updates tracked since 2016).

About Matthew Wilhelm Pa-c NPPES

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

MATTHEW WILHELM PA-C (NPI 1093263105) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2018-0077) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Bend.

NPPES Registry Identity

NPI1093263105
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW WILHELMCredential: PA-C
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address2110 Lead Ave SeAlbuquerque, NM 87106-4008 · (858) 243-0859
Phone(505) 272-2111
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2018
Enumeration DateSeptember 18, 2016
Last NPPES UpdateDecember 5, 20255 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1093263105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NM · PA2018-0077
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2211 LOMAS BLVD NE, Albuquerque, NM 87106
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Secondary Practice Location 1

Location 161250 SE Coombs PlBend, OR 97702-3704 · Phone (541) 706-5935 · Fax (541) 706-5936

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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

Matthew Wilhelm Pa-c 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 ID7315281482
PECOS Enrollment IDI20240103000404
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 9

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.

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.
77 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services61 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
26 services26 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.
24 services24 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
18 services18 patients
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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381313
Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

93.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.21
Promoting Interoperability100
Improvement Activities40
Cost63.83

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.

GLYNNIS INGALL
Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2445
DR. RACHEL ELIZABETH WEMHOFF MD
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2245
DR. JAMES MAXWELL DECKER AUD
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3535
ISABELLA REITZ-PEREZ MD
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-4161
LAURA MIGLIACCIO
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-2242
DR. KAREN RENEE CRAIG M.D.
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-0011
DR. LESLIE ERIN STRICKLER DO
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-5551
UNM MEDICAL GROUP INC
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 272-3200

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 Matthew Wilhelm's NPI number?

The NPI number for Matthew Wilhelm is 1093263105. It was assigned to this individual provider in the NPPES registry on September 18, 2016.

Where is Matthew Wilhelm located?

Matthew Wilhelm practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-2111.

What is Matthew Wilhelm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Wilhelm enrolled in Medicare?

Yes. Matthew Wilhelm 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.

What insurance does Matthew Wilhelm accept?

Health plans from Moda Health Plan, Inc. list Matthew Wilhelm 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 Matthew Wilhelm affiliated with any hospitals?

According to CMS data, Matthew Wilhelm is affiliated with St Charles Medical Center - Bend and St Charles Medical Center Prineville.

When was this NPI record last updated?

The NPPES record for Matthew Wilhelm was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.