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DR. RICHARD JACOB WILTSE M.D.
NPI 1265669352
Emergency Medicine in Jacksonville, FL

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment
56.43/100
CMS Quality Rating
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVI, JACKSONVILLE, FL 32212(619) 532-8038 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Jacob Wiltse M.d. NPPES

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

DR. RICHARD JACOB WILTSE M.D. (NPI 1265669352) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Texas (Q9092) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Paris Regional Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2009).

NPPES Registry Identity

NPI1265669352
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RICHARD JACOB WILTSECredential: M.D.
Location Address2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVIJacksonville, FL 32212-0140
Mailing Address699 14th St, Apt 348San Diego, CA 92101-7586 · (701) 240-1911
Phone(619) 532-8038
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2009
Enumeration DateJune 16, 2009
Last NPPES UpdateApril 4, 2018
✔ NPI 1265669352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · Q9092
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2005 KNIGHT LANE BLDG H, Jacksonville, FL 32212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Medica.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. Richard Jacob Wiltse 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 ID3870809569
PECOS Enrollment IDI20180411002065
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 6

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.

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.
477 services391 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.
444 services405 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.
170 services159 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.
110 services108 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.
30 services29 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32212 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

56.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality40
Improvement Activities40
Cost34.03

Reported Quality Measures

Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
94%34 patients
Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain
95%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

UNITED STATES NAVY
Clinic/Center (Military Ambulatory Procedure Visits Operational (Transportable))
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212
Duval County (760) 725-3213
KRISTIN MANSON
Pediatrics (Pediatric Emergency Medicine)
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND, MEDICAL STAFF SERVICES
JACKSONVILLE, FL 32212
Duval County (619) 532-6474
MRS. CAROL ELIZABETH GISCHIA AUD
Audiologist
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212
Duval County (904) 542-7200
ROBERT B WILSON M.D.
Radiology (Diagnostic Radiology)
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVS
JACKSONVILLE, FL 32212
Duval County (619) 532-5998
DR. TERRANCE CHRISTOPHER LEARY DDS
Dentist (General Practice)
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212
Duval County (858) 577-1825
MAURICE HARDY
Student in an Organized Health Care Education/Training Program
2005 KNIGHT LANE BLDG H, ATTN:MEDICAL STAFF SERVICES NAVY MECINE SUPPORT COMMAND
JACKSONVILLE, FL 32212
Duval County (202) 762-3194
DR. TIMOTHY WILLIAM HOWARTH DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212
Duval County (904) 542-7200
RUSTON L HESS
Student in an Organized Health Care Education/Training Program
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND, ATTN: MED STAFF SERVICES
JACKSONVILLE, FL 32212
Duval County (619) 532-6684

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 Richard Wiltse's NPI number?

The NPI number for Richard Wiltse is 1265669352. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Richard Wiltse located?

Richard Wiltse practices at 2005 Knight Lane Bldg H Navy Medicine Support Command Attn: Medical Staff Servi, Jacksonville, FL 32212. The listed phone number is (619) 532-8038.

What is Richard Wiltse's specialty?

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

Is Richard Wiltse enrolled in Medicare?

Yes. Richard Wiltse 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 Richard Wiltse accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Medica list Richard Wiltse 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 Richard Wiltse affiliated with any hospitals?

According to CMS data, Richard Wiltse is affiliated with Paris Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Wiltse was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.