DR. MARGARET C WOLF M.D.
NPI 1164476453
Urology in Clinton, IA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
79.2/100
CMS Quality Rating
915 13TH AVE N, CLINTON, IA 52732(563) 243-2511(563) 243-0817 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Margaret C Wolf M.d. NPPES

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

DR. MARGARET C WOLF M.D. (NPI 1164476453) is an individual urology provider in Clinton, Iowa, licensed in Iowa (31031) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1987).

NPPES Registry Identity

NPI1164476453
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. MARGARET C WOLFCredential: M.D.
Location Address915 13TH AVE NClinton, IA 52732-5067
Mailing Address915 13th Ave NClinton, IA 52732-5067 · (563) 243-2511 · Fax (563) 243-0817
Fax(563) 243-0817
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1987
Enumeration DateMay 20, 2006
Last NPPES UpdateAugust 12, 2016
NPI 1164476453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in IA · 31031
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
915 13TH AVE N, Clinton, IA 52732

Other Identifiers 9

OtherN53762John Deere Health
Other19358Midlands Choice
Other27205IA · Iowa Health Solutions
Medicare PIN53201IA
Other53201IA · Wellmark Bc/bs
Medicaid0134379IA
Medicare PIN340010740
Medicare UPINF80049
Other021447Health Alliance

Accepted 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. Margaret C Wolf 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 ID3678663820
PECOS Enrollment IDI20100706000646
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 11

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.
336 services265 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.
239 services186 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
177 services19 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
87 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
76 services69 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
74 services70 patients

Hospital Affiliations CMS Care Compare 2

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

Cgh Medical Center

Acute Care Hospitals · Sterling, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140043
Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County
Emergency services Birthing friendly

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160080
Location1410 North 4th StreetClinton, IA 52732 · Clinton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52732 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

79.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.88
Improvement Activities0
Cost84.56

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4311
DME-Orthotic Devices · category DF000N
2 suppliers19 claims19 services$12.39 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers61 claims61 services$24.08 avg. paid by Medicare
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
3 suppliers12 claims16 services$28.19 avg. paid by Medicare
Indwelling catheter, foley type, two-way, all silicone, each A4344
DME-Orthotic Devices · category DF000N
2 suppliers15 claims15 services$15.32 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers30 claims5,340 services$1.65 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
3 suppliers58 claims79 services$5.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Women's Health)
915 13TH AVE N
CLINTON, IA 52732
Internal Medicine
915 13TH AVE N
CLINTON, IA 52732
Family Medicine
915 13TH AVE N
CLINTON, IA 52732
Nurse Practitioner (Family)
915 13TH AVE N
CLINTON, IA 52732
Pharmacist
915 13TH AVE N
CLINTON, IA 52732
Dietitian, Registered
915 13TH AVE N
CLINTON, IA 52732
Family Medicine
915 13TH AVE N
CLINTON, IA 52732
Physician Assistant
915 13TH AVE N
CLINTON, IA 52732

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 Margaret Wolf's NPI number?

The NPI number for Margaret Wolf is 1164476453. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Margaret Wolf located?

Margaret Wolf practices at 915 13th Ave N, Clinton, IA 52732. The listed phone number is (563) 243-2511.

What is Margaret Wolf's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Margaret Wolf enrolled in Medicare?

Yes. Margaret Wolf 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 Margaret Wolf accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Margaret Wolf 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 Margaret Wolf affiliated with any hospitals?

According to CMS data, Margaret Wolf is affiliated with Cgh Medical Center and Mercyone Clinton Medical Center.

When was this NPI record last updated?

The NPPES record for Margaret Wolf was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.