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ERIN MARIE WILFONG MD
NPI 1598064974
Internal Medicine - Rheumatology in Nashville, TN

Active since March 24, 2011PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2025, Oct 15, 2020, May 27, 2020 and 2 more (5 updates tracked since 2017).

About Erin Marie Wilfong Md NPPES

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

ERIN MARIE WILFONG MD (NPI 1598064974) is an individual rheumatology provider in Nashville, Tennessee, licensed in Tennessee (56015) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1598064974
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameERIN MARIE WILFONGCredential: MD
Location Address1211 MEDICAL CENTER DRNashville, TN 37232-0005
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(615) 322-5000
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 2011
Enumeration DateMarch 24, 2011
Last NPPES UpdateFebruary 17, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1598064974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in TN · 56015
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 56015 (TN), A131007 (CA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 56015 (TN)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 56015 (TN)
1211 MEDICAL CENTER DR, Nashville, TN 37232
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-7911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State 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

Erin Marie Wilfong 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 ID7416107172
PECOS Enrollment IDI20200716003598
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
83 services34 patients
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.
23 services16 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims13 services$15.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims31 services$73.55 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$32.34 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.

GREGORY BENES MD
Student in an Organized Health Care Education/Training Program
1211 MEDICAL CENTER DR
NASHVILLE, TN 37232
Davidson County (817) 706-2464
DR. VICTOR JEGEDE MD
Student in an Organized Health Care Education/Training Program
1211 MEDICAL CENTER DR
NASHVILLE, TN 37232
Davidson County (615) 322-5000
MARIA FERNANDA YEPES MD, PHD
Student in an Organized Health Care Education/Training Program
1211 MEDICAL CENTER DR
NASHVILLE, TN 37232
Davidson County (615) 322-5000
RUSTY CATLIN PHARMD
Pharmacist
1211 MEDICAL CENTER DR, ROOM 1815 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-1909
SRINITHYA REDDY GILLIPELLI
Student in an Organized Health Care Education/Training Program
1211 MEDICAL CENTER DR
NASHVILLE, TN 37232
Davidson County (615) 322-5000
MARK PRIESTLEY AG-ACNP
Nurse Practitioner (Acute Care)
1211 MEDICAL CENTER DR
NASHVILLE, TN 37232
Davidson County (615) 343-1465
ZACH AUSTIN PTA
Physical Therapy Assistant
1211 MEDICAL CENTER DR
NASHVILLE, TN 37232
Davidson County (615) 322-5000
DR. BRANDON LEE MYERS MD
Anesthesiology
1211 MEDICAL CENTER DR
NASHVILLE, TN 37232
Davidson County (615) 322-5000

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 Erin Wilfong's NPI number?

The NPI number for Erin Wilfong is 1598064974. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Where is Erin Wilfong located?

Erin Wilfong practices at 1211 Medical Center Dr, Nashville, TN 37232. The listed phone number is (615) 322-5000.

What is Erin Wilfong's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Erin Wilfong enrolled in Medicare?

Yes. Erin Wilfong 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 Erin Wilfong accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Erin Wilfong 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 Erin Wilfong affiliated with any hospitals?

According to CMS data, Erin Wilfong is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Erin Wilfong was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.