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PAUL G WILHELM MD
NPI 1518959873
Family Medicine in Kiowa, KS

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
83.25/100
CMS Quality Rating
220 S 8TH ST, KIOWA, KS 67070(620) 825-4121(620) 825-4753 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Paul G Wilhelm Md NPPES

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

PAUL G WILHELM MD (NPI 1518959873) is an individual family medicine provider in Kiowa, Kansas, licensed in Kansas (428409) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Pratt Regional Medical Center, and is a graduate of University Of Arkansas College Of Medicine (1998).

NPPES Registry Identity

NPI1518959873
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL G WILHELMCredential: MD
Location Address220 S 8TH STKiowa, KS 67070-1631
Mailing Address8020 E Central Ave, Ste 200Wichita, KS 67206-2382 · (620) 825-4131 · Fax (620) 825-4667
Phone(620) 825-4121
Fax(620) 825-4753
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1998
Enumeration DateAugust 22, 2005
Last NPPES UpdateFebruary 21, 2018
✔ NPI 1518959873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 428409
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
220 S 8TH ST, Kiowa, KS 67070
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Paul G Wilhelm 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 ID8426027640
PECOS Enrollment IDI20040924000914
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Pratt Regional Medical Center

Acute Care Hospitals · Pratt, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170027
Location200 Commodore StPratt, KS 67124 · Pratt County
Emergency services Birthing friendly

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170122
Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Kiowa District Hospital

Critical Access Hospitals · Kiowa, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171331
Location1002 South 4th StreetKiowa, KS 67070 · Barber County
Emergency services

Hospital District #6 Patterson Health Center

Critical Access Hospitals · Anthony, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171346
Location485 N. Ks Hwy 2Anthony, KS 67003 · Harper County
Emergency services

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370026
Location305 South 5th StreetEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67070 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

83.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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
4 suppliers19 claims45 services$6.51 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers14 claims14 services$109.16 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers17 claims25 services$38.81 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers16 claims16 services$21.76 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers14 claims14 services$20.87 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers16 claims72 services$3.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Paul Wilhelm's NPI number?

The NPI number for Paul Wilhelm is 1518959873. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Paul Wilhelm located?

Paul Wilhelm practices at 220 S 8th St, Kiowa, KS 67070. The listed phone number is (620) 825-4121.

What is Paul Wilhelm's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Wilhelm enrolled in Medicare?

Yes. Paul Wilhelm 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 Paul Wilhelm accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Paul Wilhelm 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 Paul Wilhelm affiliated with any hospitals?

According to CMS data, Paul Wilhelm is affiliated with Pratt Regional Medical Center, Ascension Via Christi Hospitals Wichita, Inc., Kiowa District Hospital, Hospital District #6 Patterson Health Center and St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Wilhelm was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.