WESLEY BRIAN ZWIEFEL PA-C
NPI 1619278074
Physician Assistant in Springfield, IL

Active since November 16, 2010PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701(217) 788-0706(217) 525-2535 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2021, Dec 9, 2019, May 24, 2019 (3 updates tracked since 2019).

About Wesley Brian Zwiefel Pa-c NPPES

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

WESLEY BRIAN ZWIEFEL PA-C (NPI 1619278074) is an individual physician assistant in Springfield, Illinois, licensed in Illinois (085-003894) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1619278074
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWESLEY BRIAN ZWIEFELCredential: PA-C
Location Address619 E MASON ST STE 4P57Springfield, IL 62701-1034
Mailing Address619 E Mason St Ste 4p57Springfield, IL 62701-1034 · (217) 788-0706 · Fax (217) 525-2535
Fax(217) 525-2535
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 16, 2010
Last NPPES UpdateDecember 23, 20213 updates tracked since enumeration
NPPES CertifiedDecember 23, 2021
NPI 1619278074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085-003894
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.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 085-003894 (IL)
619 E MASON ST STE 4P57, Springfield, IL 62701

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

Wesley Brian Zwiefel Pa-c 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 ID3375731151
PECOS Enrollment IDI20101221000137
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 4

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.

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.
627 services472 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.
37 services36 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.
21 services14 patients
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.
17 services13 patients

Hospital Affiliations CMS Care Compare 4

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
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.

Nurse Practitioner (Critical Care Medicine)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner (Acute Care)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 62701
Nurse Practitioner
619 E MASON ST STE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 62701
Internal Medicine (Interventional Cardiology)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 62701

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 Wesley Zwiefel's NPI number?

The NPI number for Wesley Zwiefel is 1619278074. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Where is Wesley Zwiefel located?

Wesley Zwiefel practices at 619 E Mason St Ste 4p57, Springfield, IL 62701. The listed phone number is (217) 788-0706.

What is Wesley Zwiefel's specialty?

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

Is Wesley Zwiefel enrolled in Medicare?

Yes. Wesley Zwiefel 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 Wesley Zwiefel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Wesley Zwiefel 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 Wesley Zwiefel affiliated with any hospitals?

According to CMS data, Wesley Zwiefel is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, St Marys Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Wesley Zwiefel was last updated on December 23, 2021. 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.