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BENJAMIN WILKE MD
NPI 1558658559
Orthopaedic Surgery in Jacksonville, FL

Active since June 29, 2011PECOS EnrolledAccepts Medicare Assignment
76.2/100
CMS Quality Rating
14534 OLD SAINT AUGUSTINE RD STE 3210, JACKSONVILLE, FL 32258(904) 675-4000(904) 675-4007 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2026, Aug 9, 2024, Jul 24, 2024 and 2 more (5 updates tracked since 2017).

About Benjamin Wilke Md NPPES

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

BENJAMIN WILKE MD (NPI 1558658559) is an individual orthopaedic surgery provider in Jacksonville, Florida, licensed in Florida (ME128224) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558658559
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBENJAMIN WILKECredential: MD
Location Address14534 OLD SAINT AUGUSTINE RD STE 3210Jacksonville, FL 32258-2645
Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725
Phone(904) 675-4000
Fax(904) 675-4007
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2011
Enumeration DateJune 29, 2011
Last NPPES UpdateAugust 21, 20265 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1558658559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME128224
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
14534 OLD SAINT AUGUSTINE RD STE 3210, Jacksonville, FL 32258
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15191 First Coast Tech Pkwy Fl 3Jacksonville, FL 32224-0609 · Phone (904) 675-4000 · Fax (904) 675-4007
Location 24205 Belfort Rd Ste 3030Jacksonville, FL 32216-1474 · Phone (904) 675-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.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

Benjamin Wilke 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 ID7214184381
PECOS Enrollment IDI20170819000108
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Benjamin Wilke reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Florida Surgeons, PA
2.0 mi
Surgery
11945 SAN JOSE BLVD STE 300
Jacksonville, FL 32223
  • Reassigned Medicare billing, Florida enrollment
  • 321 clinicians in this Medicare group
NPI 1912953290 (904) 396-1725
Mayo Clinic Jacksonville
12 mi
Health Service
4500 SAN PABLO RD S
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 1,828 clinicians in this Medicare group
NPI 1174143986 (904) 953-2000
Iowa Orthopaedic Center, P.C.
1,001 mi
Orthopaedic Surgery
500 JEFFERSON ST
Pella, IA 50219
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Iowa Orthopaedic Center PC
  • 69 clinicians in this Medicare group
NPI 1598955817 (641) 621-1390
Hamilton County Public Hospital
1,072 mi
Rural Health
731 MAIN ST
Jewell, IA 50130
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1497957351 (Iowa)
  • 71 clinicians in this Medicare group
NPI 1851308423 (515) 827-6175

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 10

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 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.
200 services188 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
146 services146 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
140 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
138 services123 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
83 services79 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
62 services46 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.33
Promoting Interoperability100
Improvement Activities40
Cost51.32

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.

Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier18 claims18 services$85.13 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 20

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

CHRISTINA MARIE TIPPLE PHILLIPS OT
Occupational Therapist
14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE, FL 32258
Duval County (904) 675-4000
JOANNA LEIGH MARSHALL PT
Physical Therapist
14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE, FL 32258
Duval County (904) 675-4000
ALEIA NOLAND PA
Physician Assistant
14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE, FL 32258
Duval County (904) 675-4000
MRS. CORINNE RUTH PADGETT PA-C
Physician Assistant
14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE, FL 32258
Duval County (904) 675-4000
ROBERT KEITH GILES II PA-C
Physician Assistant
14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE, FL 32258
Duval County (904) 674-4000
NORTH FLORIDA SURGEONS, PA
Orthopaedic Surgery
14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE, FL 32258
Duval County (904) 675-4000
JULIAN FERREIRA PA-C
Physician Assistant
14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE, FL 32258
Duval County (904) 880-1260
CHRISTOPHER M. GARMAN PA-C
Physician Assistant
14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE, FL 32258
Duval County (904) 675-4000

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 Benjamin Wilke's NPI number?

The NPI number for Benjamin Wilke is 1558658559. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Benjamin Wilke located?

Benjamin Wilke practices at 14534 Old Saint Augustine Rd Ste 3210, Jacksonville, FL 32258. The listed phone number is (904) 675-4000.

What is Benjamin Wilke's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Wilke enrolled in Medicare?

Yes. Benjamin Wilke 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 Benjamin Wilke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Wilke reassigns Medicare benefits to 4 organizations: North Florida Surgeons, PA (Jacksonville, FL), Mayo Clinic Jacksonville (Jacksonville, FL), Iowa Orthopaedic Center, P.C. (Pella, IA) and Hamilton County Public Hospital (Jewell, IA). 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 Benjamin Wilke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Wilke accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Benjamin Wilke 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 Benjamin Wilke affiliated with any hospitals?

According to CMS data, Benjamin Wilke is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Ascension St Vincent's Southside and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Benjamin Wilke was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.