STEVEN C WILBRAHAM MD
NPI 1366485864
Family Medicine in Philadelphia, PA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
5843 RISING SUN AVE, PHILADELPHIA, PA 19120(215) 437-0128 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Steven C Wilbraham Md NPPES

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

STEVEN C WILBRAHAM MD (NPI 1366485864) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD058668L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Hahnemann University College Of Medicine (1993).

NPPES Registry Identity

NPI1366485864
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEVEN C WILBRAHAMCredential: MD
Location Address5843 RISING SUN AVEPhiladelphia, PA 19120-1144
Mailing AddressPo Box 746722Atlanta, GA 30374-6722
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1993
Enumeration DateJune 13, 2006
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1366485864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD058668L
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.
5843 RISING SUN AVE, Philadelphia, PA 19120

Secondary Practice Location 1

Location 12601 Holme AvePhiladelphia, PA 19152-2096 · Phone (215) 335-7606 · Fax (215) 335-7608

Other Identifiers 1

Medicaid001594321PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Steven C Wilbraham Md 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 ID6305741356
PECOS Enrollment IDI20031203000287
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Steven Wilbraham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
4510 FRANKFORD AVE
Philadelphia, PA 19124
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 232 clinicians in this Medicare group
Primary Care
3621 ARAMINGO AVE STE C5
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 196 clinicians in this Medicare group
Primary Care
1080 N DELAWARE AVE STE 800
Philadelphia, PA 19125
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19120 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
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 2

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

Pharmacist
5843 RISING SUN AVE
PHILADELPHIA, PA 19120
Pharmacist
5843 RISING SUN AVE
PHILADELPHIA, PA 19120

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 Steven Wilbraham's NPI number?

The NPI number for Steven Wilbraham is 1366485864. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Steven Wilbraham located?

Steven Wilbraham practices at 5843 Rising Sun Ave, Philadelphia, PA 19120. The listed phone number is (215) 437-0128.

What is Steven Wilbraham's specialty?

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

Is Steven Wilbraham enrolled in Medicare?

Yes. Steven Wilbraham 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.

Which organizations bill Medicare for Steven Wilbraham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Wilbraham reassigns Medicare benefits to 3 organizations: Greater Philadelphia Health Action Inc. (Philadelphia, PA), Osh - PA Physicians Group, PC (Philadelphia, PA) and Absolutecare Of Philadelphia, LLC (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Steven Wilbraham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Wilbraham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Steven Wilbraham 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.

When was this NPI record last updated?

The NPPES record for Steven Wilbraham was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.