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DR. DAVID B. WILHELM M.D.
NPI 1134155195
Internal Medicine in Birmingham, AL

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
101 MISSIONARY RDG, SUITE 200, BIRMINGHAM, AL 35242(205) 995-2260(205) 980-0133 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David B. Wilhelm M.d. NPPES

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

DR. DAVID B. WILHELM M.D. (NPI 1134155195) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (00014191) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Bsa Hospital, and is a graduate of University Of South Alabama College Of Medicine (1987).

NPPES Registry Identity

NPI1134155195
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID B. WILHELMCredential: M.D.
Location Address101 MISSIONARY RDG, SUITE 200Birmingham, AL 35242-5255
Mailing AddressPo Box 741814Atlanta, GA 30374-1814 · (205) 995-2260 · Fax (205) 980-0133
Phone(205) 995-2260
Fax(205) 980-0133
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1987
Enumeration DateJune 23, 2006
Last NPPES UpdateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1134155195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 00014191
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
101 MISSIONARY RDG, Birmingham, AL 35242
Open in Google Maps ↗

Other Identifiers 1

Other51505174AL · Bcbs

Accepted Insurance

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

Dr. David B. Wilhelm M.d. 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 ID446159578
PECOS Enrollment IDI20110711000305
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 7

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 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.
144 services81 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.
125 services79 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
103 services103 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
87 services87 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
51 services50 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35242 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

DR. RENEE BROWN HARMON M.D.
Family Medicine
101 MISSIONARY RDG, SUITE 100
BIRMINGHAM, AL 35242
Shelby County (205) 995-2520
DR. MICHAEL B. RANDLE D.M.D.
Dentist (General Practice)
101 MISSIONARY RDG, SUITE 101
BIRMINGHAM, AL 35242
Shelby County (205) 995-1450
GREYSTONE INTERNAL MEDICINE - BROOKWOOD, L.L.C.
Internal Medicine
101 MISSIONARY RDG, SUITE 200
BIRMINGHAM, AL 35242
Shelby County (205) 995-2260
DR. KARIN B ROCK M.D.
Internal Medicine
101 MISSIONARY RDG, SUITE 200
BIRMINGHAM, AL 35242
Shelby County (205) 995-2260
GREYSTONE INTERNAL MEDICINE, PC
Internal Medicine
101 MISSIONARY RDG, SUITE 200
BIRMINGHAM, AL 35242
Shelby County (205) 995-2260
DOUBLE OAK FAMILY MEDICINE,PC
Family Medicine
101 MISSIONARY RDG, SUITE 100
BIRMINGHAM, AL 35242
Shelby County (205) 995-2520

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 David Wilhelm's NPI number?

The NPI number for David Wilhelm is 1134155195. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is David Wilhelm located?

David Wilhelm practices at 101 Missionary Rdg Suite 200, Birmingham, AL 35242. The listed phone number is (205) 995-2260.

What is David Wilhelm's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Wilhelm enrolled in Medicare?

Yes. David 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 David Wilhelm accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list David 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 David Wilhelm affiliated with any hospitals?

According to CMS data, David Wilhelm is affiliated with Bsa Hospital.

When was this NPI record last updated?

The NPPES record for David Wilhelm was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.