DR. WESLEY MCILWAIN M.D.
NPI 1477973220
Otolaryngology in Sarasota, FL

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
1901 FLOYD ST STE 304, SARASOTA, FL 34239(941) 262-0500(941) 262-0505 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2024, Jun 21, 2023, Oct 21, 2019 (3 updates tracked since 2019).

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

NPI1477973220
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. WESLEY MCILWAINCredential: M.D.
Location Address1901 FLOYD ST STE 304Sarasota, FL 34239-2932
Mailing Address923 Pennsylvania Ave Ste 100Fort Worth, TX 76104-2254 · (817) 920-0484
Fax(941) 262-0505
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2014
Enumeration DateApril 21, 2014
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1477973220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in FL · ME168242 Licensed in TX · T9183
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1901 FLOYD ST STE 304, Sarasota, FL 34239

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

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.

PECOS PAC ID3971803693
PECOS Enrollment IDI20240731004127
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 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.

Repair of wound by transferring skin, each additional 30.0 sq cm 14302
This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.
43 services11 patients
Removal of lymph nodes, muscle, and tissue of neck 38724
This procedure, known as a neck dissection, involves removing lymph nodes, muscle, and tissue from the neck. It's performed to treat or prevent the spread of disease, often cancer. It's a major surgery, but it can help ensure your health and recovery.
15 services15 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
13 services13 patients
Skin graft with repair of small blood vessel 15757
A skin graft is a procedure where healthy skin is taken from one area of the body and moved to another area that has lost skin. Small blood vessels in the graft area are also repaired to ensure proper blood flow and healing. This procedure aids in recovery from wounds or burns.
13 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients
Diagnostic exam of lung airway using an endoscope 31622
This procedure involves a doctor inserting a thin, flexible tube called an endoscope into your lung airway. It allows the doctor to view the airway and diagnose any issues. The process is safe and helps in accurate diagnosis.
11 services11 patients

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, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Physician 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.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

Other Providers at the Same Location NPPES 8

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

Otolaryngology
1901 FLOYD ST STE 304
SARASOTA, FL 34239
Otolaryngology
1901 FLOYD ST STE 304
SARASOTA, FL 34239
Physician Assistant
1901 FLOYD ST STE 304
SARASOTA, FL 34239
Nurse Practitioner
1901 FLOYD ST STE 304
SARASOTA, FL 34239
Otolaryngology
1901 FLOYD ST STE 304
SARASOTA, FL 34239
Otolaryngology
1901 FLOYD ST STE 304
SARASOTA, FL 34239
Otolaryngology
1901 FLOYD ST STE 304
SARASOTA, FL 34239
Physician Assistant
1901 FLOYD ST STE 304
SARASOTA, FL 34239

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.

What insurance does Wesley Mcilwain accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Moda Health Plan, Inc. and 1 other insurer 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 22 months 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.