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ALICIA N WILMOTH PA
NPI 1588720171
Physician Assistant in Montgomery, OH

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10506A MONTGOMERY RD, MONTGOMERY, OH 45242(513) 246-2400 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alicia N Wilmoth Pa NPPES

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

ALICIA N WILMOTH PA (NPI 1588720171) is an individual physician assistant in Montgomery, Ohio, licensed in Ohio (50.002530) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1588720171
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALICIA N WILMOTHCredential: PA
Location Address10506A MONTGOMERY RDMontgomery, OH 45242-4402
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 246-1964
Phone(513) 246-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 28, 2006
Last NPPES UpdateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1588720171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.002530
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10506A MONTGOMERY RD, Montgomery, OH 45242
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Other Names 1

Former Name (1)Alicia N Coleman Pa-c

Secondary Practice Location 1

Location 13333 Burnet Avenue, ML 2004, Children's Hospital and Medical CenterCincinnati, OH 45229 · Phone (513) 803-1967 · Fax (513) 636-3847

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance.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

Alicia N Wilmoth Pa 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 ID5496828410
PECOS Enrollment IDI20080723000617
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 5

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
66 services43 patients
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.
24 services23 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.
22 services22 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.
22 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

KAREN NELTNER MMSC
Genetic Counselor, MS
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-5925
JOHN M MASHNY MD
Internal Medicine (Cardiovascular Disease)
10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242
Hamilton County (513) 246-2400
MELISSA LOUIS JAUN PA-C
Physician Assistant
10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242
Hamilton County (513) 246-2400
SHIRIN BIGDELIAZARI
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (859) 285-7221
ALEXANDER NIEHAUS PHARMD
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 246-7016
DR. SAULIUS K GIRNIUS
Internal Medicine (Hematology & Oncology)
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 853-1300
MRS. LEAH KAY ABATE MS, CGC
Genetic Counselor, MS
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-5929
JOSEPH DARBY KIRKPATRICK BENNETT PHARMD
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 246-7016

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 Alicia Wilmoth's NPI number?

The NPI number for Alicia Wilmoth is 1588720171. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Alicia N Coleman Pa-C.

Where is Alicia Wilmoth located?

Alicia Wilmoth practices at 10506A Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 246-2400.

What is Alicia Wilmoth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alicia Wilmoth enrolled in Medicare?

Yes. Alicia Wilmoth 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 Alicia Wilmoth accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Alicia Wilmoth 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 Alicia Wilmoth affiliated with any hospitals?

According to CMS data, Alicia Wilmoth is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Alicia Wilmoth was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.