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SAMUEL LEWIS WILCOX MD
NPI 1457812893
Family Medicine in Iola, KS

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
89.66/100
CMS Quality Rating
826 E MADISON AVE, IOLA, KS 66749(620) 365-6933(620) 365-8126 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samuel Lewis Wilcox Md NPPES

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

SAMUEL LEWIS WILCOX MD (NPI 1457812893) is an individual family medicine provider in Iola, Kansas, licensed in Kansas (04-046597) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Anderson County Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2019).

NPPES Registry Identity

NPI1457812893
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL LEWIS WILCOXCredential: MD
Location Address826 E MADISON AVEIola, KS 66749-3555
Mailing Address826 E Madison AveIola, KS 66749-3555 · (620) 365-6933 · Fax (620) 365-8126
Phone(620) 365-6933
Fax(620) 365-8126
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2019
Enumeration DateMarch 28, 2019
Last NPPES UpdateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
✔ NPI 1457812893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 04-046597
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.
826 E MADISON AVE, Iola, KS 66749
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., UnitedHealthcare.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

Samuel Lewis Wilcox 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 ID1951635747
PECOS Enrollment IDI20220922000690
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

2

Medicare enrollment records show Samuel Wilcox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Luke's Hospital Of Allen County, Inc
1.9 mi
Critical Access
3066 N KENTUCKY ST
Iola, KS 66749
  • Reassigned Medicare billing, Kansas enrollment
  • Medicare enrollment name: Saint Lukes Hospital Of Allen County Inc
  • 52 clinicians in this Medicare group
NPI 1639185457 (620) 365-1000
Saint Lukes Hospital Of Garnett Inc
26 mi
Critical Access
421 S MAPLE ST
Garnett, KS 66032
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1073531174 (Kansas)
  • 54 clinicians in this Medicare group
NPI 1316911878 (785) 448-3131

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

Hospital Affiliations CMS Care Compare 3

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

Anderson County Hospital

Critical Access Hospitals · Garnett, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171316
Location421 S MapleGarnett, KS 66032 · Anderson County
Emergency services

Allen County Regional Hospital

Critical Access Hospitals · Iola, KS
OwnershipGovernment - State
CMS Certification Number171373
Location3066 North Kentucky StreetIola, KS 66749 · Allen County
Emergency services

Neosho Memorial Regional Medical Center

Critical Access Hospitals · Chanute, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171380
Location629 South PlummerChanute, KS 66720 · Neosho County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66749 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.19
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$85.93 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$32.07 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.

SAINT LUKE'S HOSPITAL OF ALLEN COUNTY, INC
Clinic/Center (Rural Health)
826 E MADISON AVE
IOLA, KS 66749
Allen County (620) 365-6933
ALLEN COUNTY KANSAS HOSPITAL
Hospice Care, Community Based
826 E MADISON AVE
IOLA, KS 66749
Allen County (620) 365-2120
PAIGE RUPP LMSW
Social Worker
826 E MADISON AVE
IOLA, KS 66749
Allen County (620) 365-7890
ALLEN COUNTY KANSAS HOSPITAL
Home Health
826 E MADISON AVE
IOLA, KS 66749
Allen County (620) 365-2120
ISIAH SHAUGHNESSY
Nurse Practitioner
826 E MADISON AVE
IOLA, KS 66749
Allen County (620) 365-6933

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 Samuel Wilcox's NPI number?

The NPI number for Samuel Wilcox is 1457812893. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Samuel Wilcox located?

Samuel Wilcox practices at 826 E Madison Ave, Iola, KS 66749. The listed phone number is (620) 365-6933.

What is Samuel Wilcox's specialty?

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

Is Samuel Wilcox enrolled in Medicare?

Yes. Samuel Wilcox 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 Samuel Wilcox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wilcox reassigns Medicare benefits to 2 organizations: Saint Luke's Hospital Of Allen County, Inc (Iola, KS) and Saint Lukes Hospital Of Garnett Inc (Garnett, KS). 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 Samuel Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Wilcox accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Samuel Wilcox 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 Samuel Wilcox affiliated with any hospitals?

According to CMS data, Samuel Wilcox is affiliated with Anderson County Hospital, Allen County Regional Hospital and Neosho Memorial Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Wilcox was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.