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JODI WILDER D.O.
NPI 1336696327
Family Medicine in New Smyrna Beach, FL

Active since September 07, 2016PECOS Enrolled
75/100
CMS Quality Rating
125 FLORIDA MEMORIAL PKWY STE 2200, NEW SMYRNA BEACH, FL 32168(386) 409-6839(386) 409-6916 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2021, May 2, 2019 (2 updates tracked since 2019).

About Jodi Wilder D.o. NPPES

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

JODI WILDER D.O. (NPI 1336696327) is an individual family medicine provider in New Smyrna Beach, Florida, licensed in Florida (OS15990) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336696327
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJODI WILDERCredential: D.O.
Location Address125 FLORIDA MEMORIAL PKWY STE 2200New Smyrna Beach, FL 32168-9309
Mailing Address125 Florida Memorial Pkwy Ste 2200New Smyrna Beach, FL 32168-9309 · (386) 409-6839 · Fax (386) 409-6916
Phone(386) 409-6839
Fax(386) 409-6916
Sole ProprietorNo
Enumeration DateSeptember 7, 2016
Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
✔ NPI 1336696327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS15990
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
125 FLORIDA MEMORIAL PKWY STE 2200, New Smyrna Beach, FL 32168
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodi Wilder D.o. 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 8

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 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.
235 services168 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
128 services128 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
123 services123 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
123 services123 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.
42 services37 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32168 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers18 claims35 services$5.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims11 services$0.93 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$185.70 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 5

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

DR. ANDREW B DILL M.D.
Family Medicine
125 FLORIDA MEMORIAL PKWY STE 2200
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 409-6839
SKYLER JOAL PAVLISH-CARPENTER APRN
Nurse Practitioner (Family)
125 FLORIDA MEMORIAL PKWY STE 2200
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 409-6839
MAYA LAPRADE DO
Family Medicine
125 FLORIDA MEMORIAL PKWY STE 2200
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 409-6839
TAYANNA GISELLE LAWLOR FNP-BC
Nurse Practitioner (Family)
125 FLORIDA MEMORIAL PKWY STE 2200
NEW SMYRNA, FL 32168
Volusia County (386) 409-6839
MR. PAUL BUCOLO MD
Family Medicine
125 FLORIDA MEMORIAL PKWY STE 2200
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 409-6839

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 Jodi Wilder's NPI number?

The NPI number for Jodi Wilder is 1336696327. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Jodi Wilder located?

Jodi Wilder practices at 125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, FL 32168. The listed phone number is (386) 409-6839.

What is Jodi Wilder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jodi Wilder enrolled in Medicare?

Yes. Jodi Wilder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jodi Wilder was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.