PETER DAVID WILK MD
NPI 1124197389
Psychiatry & Neurology - Psychiatry in Portland, ME

Active since November 06, 2006Opted out of Medicare · through Mar 25, 2028
95 INDIA ST, THIRD FLOOR, PORTLAND, ME 04101(207) 619-4260 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter David Wilk Md NPPES

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

PETER DAVID WILK MD (NPI 1124197389) is an individual psychiatry provider in Portland, Maine, licensed in Maine (10902) and active in the NPI registry since November 2006. He has opted out of Medicare through March 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124197389
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePETER DAVID WILKCredential: MD
Location Address95 INDIA ST, THIRD FLOORPortland, ME 04101-4250
Mailing Address95 India St, Third FloorPortland, ME 04101-4250 · (207) 619-4260
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateOctober 10, 2012
NPI 1124197389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in ME · 10902
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

95 INDIA ST, Portland, ME 04101

Other Identifiers 1

Medicare UPIN015173ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Peter David Wilk Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 25, 2016 through March 25, 2028.

Opt-Out Effective DateMarch 25, 2016
Opt-Out In Effect ThroughMarch 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

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.

Social Worker (Clinical)
95 INDIA ST
PORTLAND, ME 04101
Social Worker (Clinical)
95 INDIA ST
PORTLAND, ME 04101
Counselor (Professional)
95 INDIA ST
PORTLAND, ME 04101
Social Worker (Clinical)
95 INDIA ST
PORTLAND, ME 04101
Social Worker (Clinical)
95 INDIA ST, STE 5
PORTLAND, ME 04101
Social Worker (School)
95 INDIA ST
PORTLAND, ME 04101
Social Worker
95 INDIA ST
PORTLAND, ME 04101
Social Worker (Clinical)
95 INDIA ST
PORTLAND, ME 04101

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 Peter Wilk's NPI number?

The NPI number for Peter Wilk is 1124197389. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Peter Wilk located?

Peter Wilk practices at 95 India St Third Floor, Portland, ME 04101. The listed phone number is (207) 619-4260.

What is Peter Wilk's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Peter Wilk enrolled in Medicare?

No. Peter Wilk has opted out of Medicare through March 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Peter Wilk was last updated on October 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.