THOMAS WECHTER MD
NPI 1578944328
Obstetrics & Gynecology in Niles, MI

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
42 N SAINT JOSEPH AVE STE 201, NILES, MI 49120(269) 687-0808(269) 687-0811 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Wechter Md NPPES

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

THOMAS WECHTER MD (NPI 1578944328) is an individual obstetrics & gynecology provider in Niles, Michigan, licensed in Michigan (4301500783) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Michigan State University College Of Human Medicine (2015).

NPPES Registry Identity

NPI1578944328
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTHOMAS WECHTERCredential: MD
Location Address42 N SAINT JOSEPH AVE STE 201Niles, MI 49120-2203
Mailing Address42 N Saint Joseph Ave Ste 201Niles, MI 49120-2203 · (269) 687-0808 · Fax (269) 687-0811
Fax(269) 687-0811
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateDecember 3, 2019
✔ NPI 1578944328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301500783
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
42 N SAINT JOSEPH AVE STE 201, Niles, MI 49120

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

Thomas Wechter 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 ID8325351430
PECOS Enrollment IDI20191213001572
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

2

Medicare enrollment records show Thomas Wechter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Audiologist
42 N SAINT JOSEPH AVE STE 300
Niles, MI 49120
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1951 OAK ST
Niles, MI 49120
  • Reassigned Medicare billing, Michigan enrollment
  • 33 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.

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Advanced Practice Midwife
42 N SAINT JOSEPH AVE STE 201
NILES, MI 49120
Advanced Practice Midwife
42 N SAINT JOSEPH AVE STE 201
NILES, MI 49120

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 Thomas Wechter's NPI number?

The NPI number for Thomas Wechter is 1578944328. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Thomas Wechter located?

Thomas Wechter practices at 42 N Saint Joseph Ave Ste 201, Niles, MI 49120. The listed phone number is (269) 687-0808.

What is Thomas Wechter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Thomas Wechter enrolled in Medicare?

Yes. Thomas Wechter 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 Thomas Wechter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Wechter reassigns Medicare benefits to 2 organizations: Lakeland Medical Practices (Niles, MI) and Lakeland Immediate Care Center (Niles, MI). 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 Thomas Wechter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Wechter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Thomas Wechter 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 Thomas Wechter affiliated with any hospitals?

According to CMS data, Thomas Wechter is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Thomas Wechter was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.