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DR. JOHN COLES WIGGINS III M.D.
NPI 1245765247
Emergency Medicine in Richmond, VA

Active since April 27, 2017PECOS EnrolledAccepts Medicare Assignment
81.88/100
CMS Quality Rating
EMERGENCY MEDICINE (DIVISION OF ULTRASOUND), 1250 E MARSHALL ST, RICHMOND, VA 23298(804) 828-4860 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 1, 2020, Aug 4, 2020, Apr 27, 2017 (3 updates tracked since 2017).

About Dr. John Coles Wiggins Iii M.d. NPPES

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

DR. JOHN COLES WIGGINS III M.D. (NPI 1245765247) is an individual emergency medicine provider in Richmond, Virginia, licensed in Virginia (101266215) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of University Of Virginia School Of Medicine (2017).

NPPES Registry Identity

NPI1245765247
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN COLES WIGGINS IIICredential: M.D.
Location AddressEMERGENCY MEDICINE (DIVISION OF ULTRASOUND), 1250 E MARSHALL STRichmond, VA 23298-5051
Mailing Address1250 E Marshall St, Box 980401Richmond, VA 23298-5051 · (804) 828-4860
Phone(804) 828-4860
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2017
Enumeration DateApril 27, 2017
Last NPPES UpdateDecember 1, 20203 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1245765247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 101266215
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
EMERGENCY MEDICINE (DIVISION OF ULTRASOUND), Richmond, VA 23298
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Coles Wiggins Iii 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 ID8628497492
PECOS Enrollment IDI20200928001824
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 John Wiggins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcv Associated Physicians
0.1 mi
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
NPI 1710959457 (804) 828-8707
Cmh Physician Services, LLC
66 mi
Internal Medicine
1755 N MECKLENBURG AVE
South Hill, VA 23970
  • Reassigned Medicare billing, Virginia enrollment
  • 241 clinicians in this Medicare group
NPI 1194760645 (434) 447-3151

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 4

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.

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.
93 services92 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
92 services92 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
49 services49 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

81.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.91
Promoting Interoperability100
Improvement Activities40
Cost64.69

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 John Wiggins's NPI number?

The NPI number for John Wiggins is 1245765247. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is John Wiggins located?

John Wiggins practices at Emergency Medicine (division Of Ultrasound) 1250 E Marshall St, Richmond, VA 23298. The listed phone number is (804) 828-4860.

What is John Wiggins's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Wiggins enrolled in Medicare?

Yes. John Wiggins 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.

Which organizations bill Medicare for John Wiggins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Wiggins reassigns Medicare benefits to 2 organizations: Mcv Associated Physicians (Richmond, VA) and Cmh Physician Services, LLC (South Hill, VA). 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 John Wiggins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Wiggins accept?

Health plans from Oscar Health list John Wiggins 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 John Wiggins affiliated with any hospitals?

According to CMS data, John Wiggins is affiliated with Medical College Of Virginia Hospitals and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Wiggins was last updated on December 1, 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.