LOREN MARTINEZ WILKERSON MD
NPI 1477729648
Internal Medicine - Geriatric Medicine in Durham, NC

Active since May 07, 2008PECOS EnrolledAccepts Medicare Assignment
40 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Loren Martinez Wilkerson Md NPPES

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

LOREN MARTINEZ WILKERSON MD (NPI 1477729648) is an individual geriatric medicine provider in Durham, North Carolina, licensed in North Carolina (2012-01001) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2007).

NPPES Registry Identity

NPI1477729648
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameLOREN MARTINEZ WILKERSONCredential: MD
Location Address40 DUKE MEDICINE CIRDurham, NC 27710-4000
Mailing Address5213 S Alston AveDurham, NC 27713-4430 · (919) 684-8111
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2007
Enumeration DateMay 7, 2008
Last NPPES UpdateJune 5, 2012
NPI 1477729648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in NC · 2012-01001
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2012-01001 (NC)
40 DUKE MEDICINE CIR, Durham, NC 27710

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

Loren Martinez Wilkerson 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 ID5799940441
PECOS Enrollment IDI20150824002303
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
161 services107 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
156 services101 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
88 services88 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services48 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
34 services34 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
74%31 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%36 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%31 patients5/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
23%31 patients2/55-star benchmark: 90%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
3%31 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%31 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
6%31 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers14 claims28 services$6.11 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 20

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

Urology
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Surgery
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Cardiovascular Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Gastroenterology)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Nephrology)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Cardiovascular Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Gastroenterology)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Clinical Neuropsychologist
40 DUKE MEDICINE CIR
DURHAM, NC 27710

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 Loren Wilkerson's NPI number?

The NPI number for Loren Wilkerson is 1477729648. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Loren Wilkerson located?

Loren Wilkerson practices at 40 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Loren Wilkerson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Loren Wilkerson enrolled in Medicare?

Yes. Loren Wilkerson 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 Loren Wilkerson was last updated on June 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.