MR. RANDALL DAVID WILHOIT IV RN
NPI 1467961029
Nurse Practitioner in Baltimore, MD

Active since September 27, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
22 S GREENE ST, BALTIMORE, MD 21201(410) 328-8667 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 27, 2020, Oct 24, 2017, Oct 20, 2017 (3 updates tracked since 2017).

About Mr. Randall David Wilhoit Iv Rn NPPES

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

MR. RANDALL DAVID WILHOIT IV RN (NPI 1467961029) is an individual nurse practitioner in Baltimore, Maryland, licensed in North Carolina (5013068) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467961029
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. RANDALL DAVID WILHOIT IVCredential: RN
Location Address22 S GREENE STBaltimore, MD 21201-1544
Mailing Address2515 Guilford AveBaltimore, MD 21218-4619 · (864) 201-5927
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 27, 2017
Last NPPES UpdateJuly 27, 20203 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
NPI 1467961029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5013068
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License R210020 (MD)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License R210020 (MD)
22 S GREENE ST, Baltimore, MD 21201

Accepted 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

Mr. Randall David Wilhoit Iv Rn 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 ID4486913811
PECOS Enrollment IDI20200721004207
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
97 services60 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
24 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services20 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201

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 Randall Wilhoit's NPI number?

The NPI number for Randall Wilhoit is 1467961029. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Where is Randall Wilhoit located?

Randall Wilhoit practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-8667.

What is Randall Wilhoit's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Randall Wilhoit enrolled in Medicare?

Yes. Randall Wilhoit 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.

What insurance does Randall Wilhoit accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Oscar Health Plan of North Carolina, Inc list Randall Wilhoit 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 Randall Wilhoit affiliated with any hospitals?

According to CMS data, Randall Wilhoit is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Randall Wilhoit was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.