DR. LORI L WILHELM MD
NPI 1609825728
Radiology - Diagnostic Radiology in Kailua Kona, HI

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
77-311 SUNSET DR, KAILUA KONA, HI 96740(808) 329-7314(808) 329-5510 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lori L Wilhelm Md NPPES

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

DR. LORI L WILHELM MD (NPI 1609825728) is an individual diagnostic radiology provider in Kailua Kona, Hawaii, licensed in Hawaii (MD10174) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1992).

NPPES Registry Identity

NPI1609825728
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. LORI L WILHELMCredential: MD
Location Address77-311 SUNSET DRKailua Kona, HI 96740
Mailing Address10800 E Geddes Ave Ste 300Englewood, CO 80112-3895 · (303) 761-9190 · Fax (720) 874-4462
Fax(808) 329-5510
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1992
Enumeration DateMay 8, 2006
Last NPPES UpdateDecember 20, 2022
NPPES CertifiedDecember 20, 2022
NPI 1609825728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in HI · MD10174 Licensed in CO · DR.0056176
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License MD10174 (HI)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License MD10174 (HI)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License MD10174 (HI)
77-311 SUNSET DR, Kailua Kona, HI 96740

Other Identifiers 1

Medicaid087889HI

Accepted 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

Dr. Lori L 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 ID6305736323
PECOS Enrollment IDI20101209001095
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 90

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
9,965 services69 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
6,839 services97 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
942 services791 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
359 services359 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
359 services359 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
218 services218 patients

Hospital Affiliations CMS Care Compare 4

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Kona Community Hospital

Acute Care Hospitals · Kealakekua, HI
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120019
Location79-1019 Haukapila StreetKealakekua, HI 96750 · Hawaii County
Emergency services Birthing friendly

Kau Hospital

Critical Access Hospitals · Pahala, HI
OwnershipGovernment - State
CMS Certification Number121301
Location1 Kamani StreetPahala, HI 96777 · Hawaii County
Emergency services

Kahuku Medical Center

Critical Access Hospitals · Kahuku, HI
OwnershipVoluntary non-profit - Other
CMS Certification Number121304
Location56-117 Pualalea StreetKahuku, HI 96731 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96740 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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 as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Family Medicine
77-311 SUNSET DR
KAILUA KONA, HI 96740
Dermatology
77-311 SUNSET DR
KAILUA KONA, HI 96740
Nurse Practitioner (Family)
77-311 SUNSET DR
KAILUA KONA, HI 96740
Dermatology
77-311 SUNSET DR
KAILUA KONA, HI 96740
Internal Medicine
77-311 SUNSET DR
KAILUA KONA, HI 96740
Family Medicine
77-311 SUNSET DR
KAILUA KONA, HI 96740

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 Lori Wilhelm's NPI number?

The NPI number for Lori Wilhelm is 1609825728. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Lori Wilhelm located?

Lori Wilhelm practices at 77-311 Sunset Dr, Kailua Kona, HI 96740. The listed phone number is (808) 329-7314.

What is Lori Wilhelm's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Lori Wilhelm enrolled in Medicare?

Yes. Lori 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 Lori Wilhelm accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Lori 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 Lori Wilhelm affiliated with any hospitals?

According to CMS data, Lori Wilhelm is affiliated with Hilo Medical Center, Kona Community Hospital, Kau Hospital and Kahuku Medical Center.

When was this NPI record last updated?

The NPPES record for Lori Wilhelm was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.