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MRS. MARY O WUNDERLICH PA
NPI 1477856979
Physician Assistant in Red Bud, IL

Active since December 06, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
325 SPRING STREET, RED BUD, IL 62278(618) 282-3831(618) 282-5476 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2023, Jun 28, 2021 (2 updates tracked since 2021).

About Mrs. Mary O Wunderlich Pa NPPES

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

MRS. MARY O WUNDERLICH PA (NPI 1477856979) is an individual physician assistant in Red Bud, Illinois, licensed in Illinois (085000332) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Red Bud Regional Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1477856979
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARY O WUNDERLICHCredential: PA
Location Address325 SPRING STREETRed Bud, IL 62278
Mailing Address325 Spring StreetRed Bud, IL 62278 · (618) 282-3831 · Fax (618) 282-5476
Phone(618) 282-3831
Fax(618) 282-5476
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 6, 2010
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1477856979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085000332
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085-000332 (IL)
325 SPRING STREET, Red Bud, IL 62278
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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

Mrs. Mary O Wunderlich Pa 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 ID4587847108
PECOS Enrollment IDI20110319000079
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.

Hospital Affiliations CMS Care Compare

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

Red Bud Regional Hospital

Critical Access Hospitals · Red Bud, IL
OwnershipProprietary
CMS Certification Number141348
Location325 Spring StreetRed Bud, IL 62278 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62278 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 5

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims20 services$49.56 avg. paid by Medicare
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 suppliers27 claims27 services$114.83 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$36.76 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers12 claims910 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$26.04 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.

MRS. AMBER L HARRIMAN PA
Physician Assistant
325 SPRING STREET
RED BUD, IL 62278
Randolph County (618) 282-3831
RED BUD PHYSICIAN GROUP LLC
Emergency Medicine
325 SPRING STREET
RED BUD, IL 62278
Randolph County (618) 282-3831
MRS. DANIELLE A TURNER APN
Nurse Practitioner
325 SPRING STREET
RED BUD, IL 62278
Randolph County (618) 282-3831
MR. ZIYA BAGHMANLI M.D.
Surgery
325 SPRING STREET
RED BUD, IL 62278
Randolph County (618) 282-3831
MRS. CHARMAINE E EDWARDS M.D.
Internal Medicine (Gastroenterology)
325 SPRING STREET
RED BUD, IL 62278
Randolph County (618) 282-3831

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 Mary Wunderlich's NPI number?

The NPI number for Mary Wunderlich is 1477856979. It was assigned to this individual provider in the NPPES registry on December 6, 2010.

Where is Mary Wunderlich located?

Mary Wunderlich practices at 325 Spring Street, Red Bud, IL 62278. The listed phone number is (618) 282-3831.

What is Mary Wunderlich's specialty?

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

Is Mary Wunderlich enrolled in Medicare?

Yes. Mary Wunderlich 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.

Is Mary Wunderlich affiliated with any hospitals?

According to CMS data, Mary Wunderlich is affiliated with Red Bud Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mary Wunderlich was last updated on January 25, 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.