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KURT EDWARD WILHELMUS PA-C
NPI 1619647468
Physician Assistant in Lexington, KY

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
535 WELLINGTON WAY STE 140, LEXINGTON, KY 40503(859) 636-1394 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2022, Apr 10, 2022, Sep 14, 2021 (3 updates tracked since 2021).

About Kurt Edward Wilhelmus Pa-c NPPES

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

KURT EDWARD WILHELMUS PA-C (NPI 1619647468) is an individual physician assistant in Lexington, Kentucky and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619647468
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKURT EDWARD WILHELMUSCredential: PA-C
Location Address535 WELLINGTON WAY STE 140Lexington, KY 40503-1387
Mailing Address87 Lantern WayNicholasville, KY 40356-9009 · (859) 576-8037
Phone(859) 636-1394
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 14, 2021
Last NPPES UpdateMay 18, 20223 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1619647468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
535 WELLINGTON WAY STE 140, Lexington, KY 40503
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Other Identifiers 1

OtherPA2918KY · State Physician Assistant License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter 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

Kurt Edward Wilhelmus 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 ID3173914835
PECOS Enrollment IDI20220106002970
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 8

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 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.
193 services180 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
168 services155 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
102 services100 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
78 services72 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.
54 services43 patients
Programming of multiple lead implantable defibrillator system 93284
Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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 Kurt Wilhelmus's NPI number?

The NPI number for Kurt Wilhelmus is 1619647468. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Kurt Wilhelmus located?

Kurt Wilhelmus practices at 535 Wellington Way Ste 140, Lexington, KY 40503. The listed phone number is (859) 636-1394.

What is Kurt Wilhelmus's specialty?

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

Is Kurt Wilhelmus enrolled in Medicare?

Yes. Kurt Wilhelmus 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 Kurt Wilhelmus accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Kurt Wilhelmus 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 Kurt Wilhelmus affiliated with any hospitals?

According to CMS data, Kurt Wilhelmus is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Kurt Wilhelmus was last updated on May 18, 2022. 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.