DR. THOMAS OLIVER WILDES M.D.
NPI 1154393791
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Chippewa Falls, WI

Active since February 07, 2006PECOS Enrolled
88.44/100
CMS Quality Rating
962 PARKLAND DR, CHIPPEWA FALLS, WI 54729(608) 345-3677 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Thomas Oliver Wildes M.d. NPPES

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

DR. THOMAS OLIVER WILDES M.D. (NPI 1154393791) is an individual otolaryngology/facial plastic surgery provider in Chippewa Falls, Wisconsin, licensed in Wisconsin (26197-020) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154393791
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. THOMAS OLIVER WILDESCredential: M.D.
Location Address962 PARKLAND DRChippewa Falls, WI 54729-5084
Mailing Address962 Parkland DrChippewa Falls, WI 54729-5084 · (608) 345-3677
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateDecember 2, 2011
✔ NPI 1154393791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in WI · 26197-020
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
962 PARKLAND DR, Chippewa Falls, WI 54729

Other Identifiers 1

Medicare UPINA45134WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Oliver Wildes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Thomas Wildes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 553 clinicians in this Medicare group
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 538 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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services13 patients

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.

88.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost59.36

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 Thomas Wildes's NPI number?

The NPI number for Thomas Wildes is 1154393791. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Thomas Wildes located?

Thomas Wildes practices at 962 Parkland Dr, Chippewa Falls, WI 54729. The listed phone number is (608) 345-3677.

What is Thomas Wildes's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Thomas Wildes enrolled in Medicare?

Yes. Thomas Wildes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Wildes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Wildes reassigns Medicare benefits to 2 organizations: Banner - University Physician Specialists LLC (Phoenix, AZ) and Banner Physician Specialists Arizona LLC (Phoenix, AZ). 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 Thomas Wildes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Wildes accept?

Health plans from Oscar Health Plan, Inc. list Thomas Wildes 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 Thomas Wildes was last updated on December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.