DR. CARISSA WILKINS DO
NPI 1164926549
Internal Medicine in Fresno, CA

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
560 E HERNDON AVE # 201, FRESNO, CA 93720(559) 437-7380(559) 716-7162 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2022, Jan 7, 2022, Jun 27, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Carissa Wilkins Do NPPES

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

DR. CARISSA WILKINS DO (NPI 1164926549) is an individual internal medicine provider in Fresno, California, licensed in Virginia (VA0116031824) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Danville, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1164926549
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARISSA WILKINSCredential: DO
Location Address560 E HERNDON AVE # 201Fresno, CA 93720-2907
Mailing AddressPo Box 28949Fresno, CA 93729-8949
Fax(559) 716-7162
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2018
Enumeration DateMarch 21, 2018
Last NPPES UpdateDecember 15, 20224 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
NPI 1164926549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · VA0116031824
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.
560 E HERNDON AVE # 201, Fresno, CA 93720

Secondary Practice Location 1

Location 1125 Executive Dr Ste HDanville, VA 24541-4155 · Phone (434) 791-1345 · Fax (434) 773-6811

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. Carissa Wilkins Do 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 ID8628326055
PECOS Enrollment IDI20211025003027
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 17

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.
989 services263 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.
139 services92 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
40 services32 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
35 services30 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers11 claims27 services$6.75 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$14.21 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$59.45 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 6

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

Family Medicine (Adult Medicine)
560 E HERNDON AVE # 201
FRESNO, CA 93720
Family Medicine
560 E HERNDON AVE # 201
FRESNO, CA 93720
Family Medicine
560 E HERNDON AVE # 201
FRESNO, CA 93720
Family Medicine
560 E HERNDON AVE # 201
FRESNO, CA 93720
Internal Medicine
560 E HERNDON AVE # 201
FRESNO, CA 93720
Family Medicine
560 E HERNDON AVE # 201
FRESNO, CA 93720

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 Carissa Wilkins's NPI number?

The NPI number for Carissa Wilkins is 1164926549. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Carissa Wilkins located?

Carissa Wilkins practices at 560 E Herndon Ave # 201, Fresno, CA 93720. The listed phone number is (559) 437-7380.

What is Carissa Wilkins's specialty?

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

Is Carissa Wilkins enrolled in Medicare?

Yes. Carissa Wilkins 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.

When was this NPI record last updated?

The NPPES record for Carissa Wilkins was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.