JASON G WILMOTH M.D.
NPI 1326080185
Otolaryngology in Abington, PA

Q: What is Jason Wilmoth's NPI number?

The NPI number for Jason Wilmoth is 1326080185. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Jason Wilmoth's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Wilmoth was last updated on May 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment

1245 HIGHLAND AVE, SUITE 502, ABINGTON, PA 19001(215) 886-1482(215) 886-1491 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jason G Wilmoth M.d. NPPES

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

JASON G WILMOTH M.D. (NPI 1326080185) is an individual otolaryngology provider in Abington, Pennsylvania, licensed in Pennsylvania (MD073797L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Abington Memorial Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1996).

NPPES Registry Identity

NPI1326080185

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameJASON G WILMOTHCredential: M.D.

Location Address1245 HIGHLAND AVE, SUITE 502Abington, PA 19001-3714

Mailing Address994 Old Eagle School Rd, Suite 1017Wayne, PA 19087-1802 · (610) 902-6092 · Fax (610) 902-6081

Phone(215) 886-1482

Fax(215) 886-1491

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1996

Enumeration DateJune 13, 2006

Last NPPES UpdateMay 7, 2008

✔ NPI 1326080185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in PA · MD073797L

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1245 HIGHLAND AVE, Abington, PA 19001

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Other Identifiers 3

Medicaid0018922340001PA

Medicare ID-Type Unspecified050198PA

Medicare UPINH45880PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Jason G Wilmoth 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 ID5890713176

PECOS Enrollment IDI20060224000278

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 15

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.

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.

572 services417 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.

361 services293 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

275 services203 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

245 services184 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

207 services203 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

202 services160 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

192 services192 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

99 services99 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.

78 services77 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

57 services56 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

56 services55 patients

Diagnostic exam of voice box using a flexible endoscope 31575

30 services30 patients

Complex control of nose bleed 30903

Complex control of a nose bleed involves specialized medical interventions. Doctors may cauterize (seal) the bleeding vessel or insert a nasal packing. This procedure helps stop the bleeding and promotes healing. It's performed under local or general anesthesia.

27 services23 patients

Placement of ear probe for computerized measurement of repeated sounds with interpretation and report 92588

This procedure involves placing a probe in your ear to measure how it responds to repeated sounds. The data is then interpreted by a computer to assess your hearing health. The findings are compiled into a report for further evaluation.

19 services19 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390231

Location1200 Old York RoadAbington, PA 19001 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

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.

Reported Quality Measures

Acute Otitis Externa (AOE): Topical Therapy

Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations

11%384 patients1/55-star benchmark: 100%

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

0%1,358 patients1/55-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%4,143 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

68%427 patients3/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

93%30 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

11%952 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

57%2,769 patients3/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

73%952 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

46%952 patients3/55-star benchmark: 79%

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.

MS. CATHERINE MCKENNA C.R.N.P.

Nurse Practitioner (Adult Health)

1245 HIGHLAND AVE, STE 302
ABINGTON, PA 19001

Montgomery County (215) 517-8850

ARTHUR MARK FRANKEL M.D.

Surgery

1245 HIGHLAND AVE
ABINGTON, PA 19001

Montgomery County (215) 886-1020

DR. THEODORE ROBERT SULLIVAN M.D.

Surgery (Vascular Surgery)

1245 HIGHLAND AVE, SUITE 600
ABINGTON, PA 19001

Montgomery County (215) 887-3990

DR. ROBERT A JUBELIRER MD

Surgery

1245 HIGHLAND AVE, SUITE 600
ABINGTON, PA 19001

Montgomery County (215) 887-3990

PHILIP A ROSENFELD M.D.

Otolaryngology

1245 HIGHLAND AVE, SUITE 502
ABINGTON, PA 19001

Montgomery County (215) 886-1482

ABINGTON REPRODUCTIVE MEDICINE

Obstetrics & Gynecology (Reproductive Endocrinology)

1245 HIGHLAND AVE, STE 404
ABINGTON, PA 19001

Montgomery County (215) 887-2010

KENNETH H EINHORN M.D.

Otolaryngology

1245 HIGHLAND AVE, SUITE 502
ABINGTON, PA 19001

Montgomery County (215) 886-1482

DR. DIANE MARY OPATT M.D.

Surgery

1245 HIGHLAND AVE, SUITE 305
ABINGTON, PA 19001

Montgomery County (215) 481-7464

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 Jason Wilmoth's NPI number?

The NPI number for Jason Wilmoth is 1326080185. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Jason Wilmoth located?

Jason Wilmoth practices at 1245 Highland Ave Suite 502, Abington, PA 19001. The listed phone number is (215) 886-1482.

What is Jason Wilmoth's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jason Wilmoth enrolled in Medicare?

Yes. Jason Wilmoth 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 Jason Wilmoth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jason Wilmoth 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 Jason Wilmoth affiliated with any hospitals?

According to CMS data, Jason Wilmoth is affiliated with Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jason Wilmoth was last updated on May 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.