ROYCE W WILHELM DPM
NPI 1124025895
Podiatrist in Baden, PA

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
14 GIANT OAK DRIVE, BADEN, PA 15005(724) 869-4104(724) 869-4104 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Royce W Wilhelm Dpm NPPES

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

ROYCE W WILHELM DPM (NPI 1124025895) is an individual podiatrist in Baden, Pennsylvania, licensed in Pennsylvania (SC3049L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (1986).

NPPES Registry Identity

NPI1124025895
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameROYCE W WILHELMCredential: DPM
Location Address14 GIANT OAK DRIVEBaden, PA 15005
Mailing Address14 Giant Oak DrBaden, PA 15005-2331 · (412) 869-4104 · Fax (724) 869-4104
Fax(724) 869-4104
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1986
Enumeration DateJuly 7, 2005
Last NPPES UpdateFebruary 28, 2013
✔ NPI 1124025895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in PA · SC3049L
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
14 GIANT OAK DRIVE, Baden, PA 15005

Other Identifiers 3

Medicare ID-Type UnspecifiedWI197915PA
Medicare UPINT30125
Medicaid1047137PA

Accepted 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

Royce W Wilhelm 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 ID749222669
PECOS Enrollment IDI20050601000431, I20130606000694, I20150904001492
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

3

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

Audiologist
178 LAUREL DR
Beaver, PA 15009
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 50 clinicians in this Medicare group
Podiatrist
209 WASHINGTON ST W
Charleston, WV 25302
  • Reassigned Medicare billing, West Virginia enrollment
  • 8 clinicians in this Medicare group
Podiatrist
221 BOLIVAR ST
Jefferson City, MO 65101
  • Reassigned Medicare billing, Missouri enrollment
  • 14 clinicians in this Medicare group

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 10

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.

Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
2,791 services1,047 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
2,616 services994 patients
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.
803 services297 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
316 services217 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
246 services246 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
199 services115 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15005 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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 Royce Wilhelm's NPI number?

The NPI number for Royce Wilhelm is 1124025895. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Royce Wilhelm located?

Royce Wilhelm practices at 14 Giant Oak Drive, Baden, PA 15005. The listed phone number is (724) 869-4104.

What is Royce Wilhelm's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Royce Wilhelm enrolled in Medicare?

Yes. Royce 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.

Which organizations bill Medicare for Royce Wilhelm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Royce Wilhelm reassigns Medicare benefits to 3 organizations: Onsight Health Care, LLC (Beaver, PA), Giaimo Mobile Podiatry Of Wv PLLC (Charleston, WV) and Dr Jeffrey Brooks PC (Jefferson City, MO). 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 Royce Wilhelm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Royce Wilhelm accept?

Health plans from Anthem Blue Cross and Blue Shield list Royce 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.

When was this NPI record last updated?

The NPPES record for Royce Wilhelm was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.