PAULA WILHAM MD
NPI 1255357059
Emergency Medicine in Kokomo, IN

Active since July 14, 2006PECOS Enrolled
100/100
CMS Quality Rating
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902(765) 453-8346 Get Directions Write a Review

NPPES record last updated: August 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paula Wilham Md NPPES

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

PAULA WILHAM MD (NPI 1255357059) is an individual emergency medicine provider in Kokomo, Indiana, licensed in Indiana (01046419) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255357059
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NamePAULA WILHAMCredential: MD
Location Address3500 S LAFOUNTAIN STKokomo, IN 46902-3803
Mailing Address2449 Reliable PkwyChicago, IL 60686-0001 · (317) 802-3139 · Fax (317) 870-0499
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateAugust 29, 2008
NPI 1255357059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 01046419
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.

3500 S LAFOUNTAIN ST, Kokomo, IN 46902

Other Identifiers 2

Medicare UPINH20653
Medicaid200281270IN

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 (PECOS)

Paula Wilham Md 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.

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 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.
252 services248 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.
217 services211 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.
94 services94 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.38
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier21 claims21 services$69.94 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.41 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.

Emergency Medicine
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Family Medicine
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Nurse Practitioner
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Emergency Medicine
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Physician Assistant (Medical)
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Internal Medicine
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Anesthesiology
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Internal Medicine
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902

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 Paula Wilham's NPI number?

The NPI number for Paula Wilham is 1255357059. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Paula Wilham located?

Paula Wilham practices at 3500 S Lafountain St, Kokomo, IN 46902. The listed phone number is (765) 453-8346.

What is Paula Wilham's specialty?

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

Is Paula Wilham enrolled in Medicare?

Yes. Paula Wilham is registered in the Medicare PECOS enrollment system.

What insurance does Paula Wilham accept?

Health plans from CareSource list Paula Wilham 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 Paula Wilham was last updated on August 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.