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MARY K. WILDE MD
NPI 1508901810
Specialist in La Jolla, CA

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
9850 GENESEE AVE STE 510, LA JOLLA, CA 92037(858) 623-2345(858) 623-2343 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary K. Wilde Md NPPES

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

MARY K. WILDE MD (NPI 1508901810) is an individual specialist in La Jolla, California, licensed in California (G65602) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1984).

NPPES Registry Identity

NPI1508901810
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARY K. WILDECredential: MD
Location Address9850 GENESEE AVE STE 510La Jolla, CA 92037-1213
Mailing Address9850 Genesee Ave Ste 510La Jolla, CA 92037-1213 · (858) 623-2345 · Fax (858) 623-2343
Phone(858) 623-2345
Fax(858) 623-2343
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1984
Enumeration DateFebruary 21, 2007
Last NPPES UpdateNovember 28, 2007
✔ NPI 1508901810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G65602
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9850 GENESEE AVE STE 510, La Jolla, CA 92037
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Other Identifiers 1

Medicare PINWG65602CCA

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

Mary K. Wilde 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 ID446420533
PECOS Enrollment IDI20110829000194
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.

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.
363 services182 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
97 services97 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
77 services68 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
61 services61 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.
43 services42 patients
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.
24 services21 patients

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.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers18 claims50 services$33.39 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 3

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

SOCAL FOOT CARE PC
Podiatrist (Foot & Ankle Surgery)
9850 GENESEE AVE STE 510
LA JOLLA, CA 92037
San Diego County (510) 399-0221
SYNERGY ORTHOPEDIC SPECIALISTS, INC.
Specialist
9850 GENESEE AVE STE 510
LA JOLLA, CA 92037
San Diego County (858) 450-9218
DR. COLBY BERGER DPM
Podiatrist (Foot & Ankle Surgery)
9850 GENESEE AVE STE 510
LA JOLLA, CA 92037
San Diego County (858) 450-9218

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 Wilde's NPI number?

The NPI number for Mary Wilde is 1508901810. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Mary Wilde located?

Mary Wilde practices at 9850 Genesee Ave Ste 510, La Jolla, CA 92037. The listed phone number is (858) 623-2345.

What is Mary Wilde's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mary Wilde enrolled in Medicare?

Yes. Mary Wilde 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 Mary Wilde was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.