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CALEB WILSON
NPI 1295269454
Internal Medicine in Scottsbluff, NE

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
76.99/100
CMS Quality Rating
4021 AVENUE B, SCOTTSBLUFF, NE 69361(308) 635-3711 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2023, Dec 30, 2020, Apr 14, 2017 (3 updates tracked since 2017).

About Caleb Wilson NPPES

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

CALEB WILSON (NPI 1295269454) is an individual internal medicine provider in Scottsbluff, Nebraska, licensed in California (A159522) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and is a graduate of University Of California, Geffen School Of Medicine (2017).

NPPES Registry Identity

NPI1295269454
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCALEB WILSON
Location Address4021 AVENUE BScottsbluff, NE 69361-4602
Mailing Address4021 Avenue BScottsbluff, NE 69361-4602 · (308) 635-3711
Phone(308) 635-3711
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2017
Enumeration DateApril 14, 2017
Last NPPES UpdateMay 15, 20233 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1295269454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A159522
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.
4021 AVENUE B, Scottsbluff, NE 69361
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Caleb Wilson 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 ID6103242565
PECOS Enrollment IDI20220321000451
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
197 services98 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
134 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
98 services95 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
57 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Chadron Community Hospital And Health Services

Critical Access Hospitals · Chadron, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281341
Location825 Centennial DriveChadron, NE 69337 · Dawes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69361 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

76.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability99
Improvement Activities40
Cost52.32

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$21.21 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 suppliers15 claims15 services$118.90 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.

RICHARD J SIMMONS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1400
KELLY JO COON M.D.
Hospitalist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-2920
MEGAN COLLINS DO
Student in an Organized Health Care Education/Training Program
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 635-3711
DR. CRAIG DOUGLAS NOE PHARM. D.
Pharmacist (Pharmacotherapy)
4021 AVENUE B, INPATIENT PHARMACY
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1262
KRISTEN NELSON
Speech-Language Pathologist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1355
NEBRASKA EM-I MEDICAL SERVICES PC
Emergency Medicine
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (469) 401-2386
MR. RANDALL WILBERT REZNOR R.PH.
Pharmacist
4021 AVENUE B, REGIONAL WEST MEDICAL CENTER
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1262
AMBER ROSE MCLAUGHLIN DPT
Physical Therapist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1355

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 Caleb Wilson's NPI number?

The NPI number for Caleb Wilson is 1295269454. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Caleb Wilson located?

Caleb Wilson practices at 4021 Avenue B, Scottsbluff, NE 69361. The listed phone number is (308) 635-3711.

What is Caleb Wilson's specialty?

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

Is Caleb Wilson enrolled in Medicare?

Yes. Caleb Wilson 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 Caleb Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica list Caleb Wilson 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 Caleb Wilson affiliated with any hospitals?

According to CMS data, Caleb Wilson is affiliated with Regional West Medical Center and Chadron Community Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Caleb Wilson was last updated on May 15, 2023. 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.