MEGAN NICOLE WILKINSON MD
NPI 1437712189
Family Medicine in Pipestone, MN

Q: What is Megan Wilkinson's NPI number?

The NPI number for Megan Wilkinson is 1437712189. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Q: What is Megan Wilkinson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Megan Wilkinson was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 18, 2019PECOS EnrolledAccepts Medicare Assignment

94/100

CMS Quality Rating

916 4TH AVE SW, PIPESTONE, MN 56164(507) 825-5811 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2022, Jul 18, 2019, Apr 18, 2019 (3 updates tracked since 2019).

On this page

About Megan Nicole Wilkinson Md NPPES

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

MEGAN NICOLE WILKINSON MD (NPI 1437712189) is an individual family medicine provider in Pipestone, Minnesota, licensed in Minnesota (71835) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Avera Marshall Regional Medical Ctr, and is a graduate of Creighton University School Of Medicine (2019).

NPPES Registry Identity

NPI1437712189

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMEGAN NICOLE WILKINSONCredential: MD

Location Address916 4TH AVE SWPipestone, MN 56164-1890

Mailing Address916 4th Ave SwPipestone, MN 56164-1890 · (507) 825-5811

Phone(507) 825-5811

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2019

Enumeration DateApril 18, 2019

Last NPPES UpdateJuly 6, 20223 updates tracked since enumeration

NPPES CertifiedJuly 6, 2022

✔ NPI 1437712189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MN · 71835✔ Licensed in CO · DR.0064962

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 · License TL.0007856 (CO)

916 4TH AVE SW, Pipestone, MN 56164

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Megan Nicole Wilkinson 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 ID345583720

PECOS Enrollment IDI20220921003457

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

32 services20 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

23 services12 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

16 services16 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number241359

Location300 South Bruce StreetMarshall, MN 56258 · Lyon County

Emergency services

Pipestone County Medical Center

Critical Access Hospitals · Pipestone, MN

OwnershipGovernment - Local

CMS Certification Number241374

Location916 4th Avenue SouthwestPipestone, MN 56164 · Pipestone County

Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56164 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

94/100

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

Scored through an Alternative Payment Model

Quality

84.79

Promoting Interoperability

98.22

Improvement Activities

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.

PIPESTONE COUNTY MEDICAL CENTER

General Acute Care Hospital (Critical Access)