MR. GARY DEWAYNE WILEY JR. PA-C
NPI 1427885656
Physician Assistant in Marina Del Rey, CA

Active since September 19, 2024PECOS EnrolledAccepts Medicare Assignment
4011 VIA MARINA APT 107, MARINA DEL REY, CA 90292(360) 441-4248 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2024, Sep 19, 2024 (2 updates tracked since 2024).

About Mr. Gary Dewayne Wiley Jr. Pa-c NPPES

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

MR. GARY DEWAYNE WILEY JR. PA-C (NPI 1427885656) is an individual physician assistant in Marina Del Rey, California, licensed in California (PA65066) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1427885656
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. GARY DEWAYNE WILEY JR.Credential: PA-C
Location Address4011 VIA MARINA APT 107Marina Del Rey, CA 90292-8201
Mailing Address4011 Via Marina Apt 107Marina Del Rey, CA 90292-8201 · (360) 441-4248
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 19, 2024
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1427885656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA65066
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4011 VIA MARINA APT 107, Marina Del Rey, CA 90292

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

Mr. Gary Dewayne Wiley Jr. Pa-c 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 ID2264900141
PECOS Enrollment IDI20260508002282
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Gary Wiley's NPI number?

The NPI number for Gary Wiley is 1427885656. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Gary Wiley located?

Gary Wiley practices at 4011 Via Marina Apt 107, Marina Del Rey, CA 90292. The listed phone number is (360) 441-4248.

What is Gary Wiley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gary Wiley enrolled in Medicare?

Yes. Gary Wiley 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.

When was this NPI record last updated?

The NPPES record for Gary Wiley was last updated on September 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.