DR. JOHN K WILDEMORE IV M.D.
NPI 1295712487
Dermatology in Wayne, PA

Q: What is John Wildemore's NPI number?

The NPI number for John Wildemore is 1295712487. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is John Wildemore's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for John Wildemore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 28, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 39D2065598 · Certificate of Compliance

86.16/100

CMS Quality Rating

744 W LANCASTER AVE, SUITE 230, WAYNE, PA 19087(610) 688-8750(610) 688-8751 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. John K Wildemore Iv M.d. NPPES

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

DR. JOHN K WILDEMORE IV M.D. (NPI 1295712487) is an individual dermatology provider in Wayne, Pennsylvania, licensed in Pennsylvania (MD423121) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through April 10, 2028, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1996).

NPPES Registry Identity

NPI1295712487

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. JOHN K WILDEMORE IVCredential: M.D.

Location Address744 W LANCASTER AVE, SUITE 230Wayne, PA 19087-2523

Mailing Address744 W Lancaster Ave, Suite 230Wayne, PA 19087-2523 · (610) 688-8750 · Fax (610) 688-8750

Phone(610) 688-8750

Fax(610) 688-8751

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1996

Enumeration DateDecember 28, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1295712487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in PA · MD423121

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

744 W LANCASTER AVE, Wayne, PA 19087

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH97261

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. John K Wildemore Iv 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 ID8729988555

PECOS Enrollment IDI20040109000407

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 39D2065598

John K Wildemore MD, LLC · Wayne, PA

Active · expires Apr 10, 2028

CLIA Number39D2065598

Laboratory TypePhysician Office

Certificate Effective DateApril 11, 2026

Certificate Expiration DateApril 10, 2028

Laboratory DirectorDr. Tatyana R. Humphreys

Laboratory Phone(610) 688-8750

Laboratory LocationJohn K Wildemore MD, LLC744 West Lancaster Ave Suite 230, Wayne, PA 19087

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 16

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

2,004 services439 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.

1,928 services1,284 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

949 services666 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.

783 services585 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

638 services528 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

132 services97 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

61 services54 patients

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.

52 services19 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

30 services21 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

29 services28 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

16 services13 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

15 services12 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

14 services13 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

13 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm 17272

This procedure involves the removal of a cancerous skin growth measuring 1.1-2.0 cm, located on the scalp, neck, hands, or feet. The process may involve techniques like surgery, laser, or cryotherapy. The aim is to eliminate the cancer cells and prevent further spread.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19087 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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.

86.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Promoting Interoperability

100

Improvement Activities

Cost

58.89

Reported Quality Measures

Biopsy Follow-Up

Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician

100%80 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%5,320 patients5/55-star benchmark: 100%

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 15

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

CHIROPRACTIC SPINE CENTER IV

Chiropractor (Rehabilitation)

744 W LANCASTER AVE, SUITE 105
WAYNE, PA 19087

Chester County (610) 254-8200

DR. SHERLY JOHN ALEX D.D.S

Dentist

744 W LANCASTER AVE, SUITE 115
WAYNE, PA 19087

Chester County (610) 971-0717

MARIA BERNARDITA SCHELLHORN DMD

Dentist (General Practice)

744 W LANCASTER AVE, SUITE 115
WAYNE, PA 19087

Chester County (610) 971-0717

DR. KEVIN JAY CROSS M.D.

Surgery (Plastic and Reconstructive Surgery)

744 W LANCASTER AVE, DEVON SQUARE 2, SUITE 100
WAYNE, PA 19087

Chester County (610) 688-3363

SURGERY CTR OF THE MAIN LINE

Clinic/Center (Ambulatory Surgical)

744 W LANCASTER AVE, SUITE 110
WAYNE, PA 19087

Chester County (484) 586-0227

NICOLE DEAKINS DMD

Dentist (Prosthodontics)

744 W LANCASTER AVE, DEVON SQUARE II, SUITE 115
WAYNE, PA 19087

Chester County (610) 971-0717

DR. RONALD CRAIG WILLIAMS D.M.D.

Dentist (General Practice)

744 W LANCASTER AVE, SUITE 115
WAYNE, PA 19087

Chester County (610) 971-0717

ADVANCED VEIN & VASCULAR CENTER, INC.

Specialist

744 W LANCASTER AVE, SUITE 225, DEVON SQUARE II
WAYNE, PA 19087

Chester County (610) 687-5347

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 Wildemore's NPI number?

The NPI number for John Wildemore is 1295712487. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is John Wildemore located?

John Wildemore practices at 744 W Lancaster Ave Suite 230, Wayne, PA 19087. The listed phone number is (610) 688-8750.

What is John Wildemore's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is John Wildemore enrolled in Medicare?

Yes. John Wildemore 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.

Does John Wildemore hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D2065598) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John Wildemore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

About Dr. John K Wildemore Iv M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 1

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate of Compliance · 39D2065598

Areas of Expertise CMS Part B claims 16

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Reported Quality Measures

Other Providers at the Same Location NPPES 15

Frequently Asked Questions NPPES & CMS

What is John Wildemore's NPI number?

Where is John Wildemore located?

What is John Wildemore's specialty?

Is John Wildemore enrolled in Medicare?

Does John Wildemore hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Compliance 39D2065598