DR. WESLEY MCILWAIN M.D.
NPI 1477973220
Otolaryngology in Sarasota, FL
About Dr. Wesley Mcilwain M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. WESLEY MCILWAIN M.D. (NPI 1477973220) is an individual otolaryngology provider in Sarasota, Florida, licensed in Florida (ME168242) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Wesley Mcilwain M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Wesley Mcilwain reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sarasota, FL 34239
- Reassigned Medicare billing, Florida enrollment
- 956 clinicians in this Medicare group
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Health Care PLLC
- 511 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sarasota Memorial Hospital
Acute Care Hospitals · Sarasota, FLSarasota Memorial Hospital - Venice
Acute Care Hospitals · North Venice, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wesley Mcilwain's NPI number?
The NPI number for Wesley Mcilwain is 1477973220. It was assigned to this individual provider in the NPPES registry on April 21, 2014.
Where is Wesley Mcilwain located?
Wesley Mcilwain practices at 1901 Floyd St Ste 304, Sarasota, FL 34239. The listed phone number is (941) 262-0500.
What is Wesley Mcilwain's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Wesley Mcilwain enrolled in Medicare?
Yes. Wesley Mcilwain 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 Wesley Mcilwain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wesley Mcilwain reassigns Medicare benefits to 3 organizations: Smh Physician Services Inc (Sarasota, FL), Texas Health Care, P.L.L.C. (Mansfield, TX) and Alaska Native Tribal Health Consortium (Anchorage, AK). 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 Wesley Mcilwain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wesley Mcilwain accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Wesley Mcilwain 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 Wesley Mcilwain affiliated with any hospitals?
According to CMS data, Wesley Mcilwain is affiliated with Sarasota Memorial Hospital and Sarasota Memorial Hospital - Venice.
When was this NPI record last updated?
The NPPES record for Wesley Mcilwain was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Wesley Mcilwain, M.D. · NPI 1477973220
Otolaryngology physician in Sarasota, Florida. Individual provider, active in the CMS NPPES registry since April 21, 2014.
## Identity
- **NPI:** 1477973220 (Entity type: Individual)
- **Enumerated:** April 21, 2014
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** ME168242 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 FLOYD ST STE 304, Sarasota, FL 34239-2932
- **Phone:** (941) 262-0500 · **Fax:** (941) 262-0505
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Smh Physician Services Inc (NPI 1346295292, Sarasota, FL); Texas Health Care, P.L.L.C. (NPI 1689796385, Mansfield, TX); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** September 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477973220) · Data from the CMS NPPES public registry.