DEBRA L. WILDER M.D.
NPI 1174513915
Family Medicine in Kuttawa, KY

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
86.48/100
CMS Quality Rating
91 CEDAR ST, KUTTAWA, KY 42055(270) 388-7380(270) 388-7364 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra L. Wilder M.d. NPPES

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

DEBRA L. WILDER M.D. (NPI 1174513915) is an individual family medicine provider in Kuttawa, Kentucky, licensed in Kentucky (28168) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of University Of Louisville School Of Medicine (1990).

NPPES Registry Identity

NPI1174513915
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEBRA L. WILDERCredential: M.D.
Location Address91 CEDAR STKuttawa, KY 42055-6287
Mailing AddressPo Box 370, 91 Cedar StreetKuttawa, KY 42055-0370 · (270) 388-7380 · Fax (270) 388-7364
Fax(270) 388-7364
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1990
Enumeration DateOctober 24, 2005
Last NPPES UpdateNovember 30, 2018
NPI 1174513915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 28168
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 28168 (KY)
91 CEDAR ST, Kuttawa, KY 42055

Other Identifiers 1

Medicaid64281686KY

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

Debra L. Wilder 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 ID2961546643
PECOS Enrollment IDI20100218000498
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 25

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,321 services110 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.
795 services272 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
230 services74 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
214 services117 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.
87 services70 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
85 services82 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Trigg County Hospital

Critical Access Hospitals · Cadiz, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181304
Location254 Main StreetCadiz, KY 42211 · Trigg County
Emergency services

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181322
Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County
Emergency services

Marshall County Hospital

Critical Access Hospitals · Benton, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number181327
Location615 Old Symsonia RoadBenton, KY 42025 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42055 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

86.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.84
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 35

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
6 suppliers47 claims108 services$5.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers24 claims31 services$1.11 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers21 claims37 services$6.27 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
4 suppliers13 claims29 services$5.51 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers11 claims180 services$8.23 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers12 claims190 services$3.48 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

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

Nurse Practitioner (Family)
91 CEDAR ST
KUTTAWA, KY 42055

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 Debra Wilder's NPI number?

The NPI number for Debra Wilder is 1174513915. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Debra Wilder located?

Debra Wilder practices at 91 Cedar St, Kuttawa, KY 42055. The listed phone number is (270) 388-7380.

What is Debra Wilder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Debra Wilder enrolled in Medicare?

Yes. Debra Wilder 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 Debra Wilder accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Debra Wilder 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 Debra Wilder affiliated with any hospitals?

According to CMS data, Debra Wilder is affiliated with Baptist Health Deaconess Madisonville, Baptist Health Paducah, Trigg County Hospital, Caldwell Medical Center and Marshall County Hospital.

When was this NPI record last updated?

The NPPES record for Debra Wilder was last updated on November 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.