DR. EDWARD B WIEMHOLT III DO
NPI 1619392909
Hospitalist in Kansas City, KS

Active since February 24, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4000 CAMBRIDGE ST # MS 1020, KANSAS CITY, KS 66160(913) 588-6005 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2024, Jul 27, 2024, Oct 5, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Edward B Wiemholt Iii Do NPPES

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

DR. EDWARD B WIEMHOLT III DO (NPI 1619392909) is an individual hospitalist provider in Kansas City, Kansas, licensed in Kansas (05-49353) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2014).

NPPES Registry Identity

NPI1619392909
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. EDWARD B WIEMHOLT IIICredential: DO
Location Address4000 CAMBRIDGE ST # MS 1020Kansas City, KS 66160-8501
Mailing Address4000 Cambridge St # Ms 1020Kansas City, KS 66160-8501 · (913) 588-6005
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2014
Enumeration DateFebruary 24, 2014
Last NPPES UpdateJuly 29, 20246 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1619392909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in KS · 05-49353 Licensed in MO · 2020040036
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0102204328 (VA), 2020040036 (MO)
4000 CAMBRIDGE ST # MS 1020, Kansas City, KS 66160

Other Identifiers 1

Medicaid200095382MO

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. Edward B Wiemholt Iii Do 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 ID9436450319
PECOS Enrollment IDI20240827001309
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 6

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 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.
214 services82 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
184 services73 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
56 services56 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services42 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers14 claims14 services$13.64 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
2 suppliers14 claims14 services$61.98 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 6

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

Internal Medicine
4000 CAMBRIDGE ST # MS 1020
KANSAS CITY, KS 66160
Internal Medicine
4000 CAMBRIDGE ST # MS 1020
KANSAS CITY, KS 66160
Family Medicine (Hospice and Palliative Medicine)
4000 CAMBRIDGE ST # MS 1020
KANSAS CITY, KS 66160
Internal Medicine
4000 CAMBRIDGE ST # MS 1020
KANSAS CITY, KS 66160
Internal Medicine
4000 CAMBRIDGE ST # MS 1020
KANSAS CITY, KS 66160
Hospitalist
4000 CAMBRIDGE ST # MS 1020
KANSAS CITY, KS 66160

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 Edward Wiemholt's NPI number?

The NPI number for Edward Wiemholt is 1619392909. It was assigned to this individual provider in the NPPES registry on February 24, 2014.

Where is Edward Wiemholt located?

Edward Wiemholt practices at 4000 Cambridge St # Ms 1020, Kansas City, KS 66160. The listed phone number is (913) 588-6005.

What is Edward Wiemholt's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Edward Wiemholt enrolled in Medicare?

Yes. Edward Wiemholt 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 Edward Wiemholt accept?

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

According to CMS data, Edward Wiemholt is affiliated with University Of Kansas Hospital and Olathe Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Wiemholt was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.