DR. LORI L WILHELM MD
NPI 1609825728
Radiology - Diagnostic Radiology in Kailua Kona, HI
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
Specialties & Licenses 4
Other Identifiers 1
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.
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.
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, HIKona Community Hospital
Acute Care Hospitals · Kealakekua, HIKau Hospital
Critical Access Hospitals · Pahala, HIKahuku Medical Center
Critical Access Hospitals · Kahuku, HIPhysician 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.
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.
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.
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.