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MR. WILLIAM A WILFLEY JR. M.D.
NPI 1619997046
Surgery in Wausau, WI

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2606 STEWART AVE STE 200, WAUSAU, WI 54401(715) 847-2022 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. William A Wilfley Jr. M.d. NPPES

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

MR. WILLIAM A WILFLEY JR. M.D. (NPI 1619997046) is an individual surgery provider in Wausau, Wisconsin, licensed in Wisconsin (60454) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and maintains a secondary practice location in Wausau.

NPPES Registry Identity

NPI1619997046
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. WILLIAM A WILFLEY JR.Credential: M.D.
Location Address2606 STEWART AVE STE 200Wausau, WI 54401-5449
Mailing Address2400 Pine Ridge BlvdWausau, WI 54401-7803 · (715) 847-2022 · Fax (715) 843-1003
Phone(715) 847-2022
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2000
Enumeration DateJuly 20, 2006
Last NPPES UpdateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1619997046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 60454
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2606 STEWART AVE STE 200, Wausau, WI 54401
Open in Google Maps ↗

Secondary Practice Location 1

Location 12400 Pine Ridge BlvdWausau, WI 54401-7803 · Phone (715) 847-2022 · Fax (715) 843-1003

Other Identifiers 4

Other8943482WA · Crime Victims
OtherP00380119Railroad Medicare
Medicaid100031344WI
Other217046WA · Labor & Ind.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners 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

Mr. William A Wilfley Jr. M.d. 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 ID9436187614
PECOS Enrollment IDI20130514000353
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services18 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.
17 services15 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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
Quality97.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

DR. GARY THEODORE SWEET JR. MD
Surgery
2606 STEWART AVE STE 200
WAUSAU, WI 54401
Marathon County (715) 847-2022
DR. STEVEN T. WEILAND M.D.
Surgery
2606 STEWART AVE STE 200
WAUSAU, WI 54401
Marathon County (715) 847-2022
JEREMIAH OLSON M.D.
Surgery
2606 STEWART AVE STE 200
WAUSAU, WI 54401
Marathon County (715) 847-2022
GABRIELLA MARIA BARAN DO
Internal Medicine (Obesity Medicine)
2606 STEWART AVE STE 200
WAUSAU, WI 54401
Marathon County (715) 847-2022
ERIN M. KERN NP
Nurse Practitioner
2606 STEWART AVE STE 200
WAUSAU, WI 54401
Marathon County (715) 847-2022

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 William Wilfley's NPI number?

The NPI number for William Wilfley is 1619997046. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is William Wilfley located?

William Wilfley practices at 2606 Stewart Ave Ste 200, Wausau, WI 54401. The listed phone number is (715) 847-2022.

What is William Wilfley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is William Wilfley enrolled in Medicare?

Yes. William Wilfley 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 William Wilfley accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list William Wilfley 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 William Wilfley affiliated with any hospitals?

According to CMS data, William Wilfley is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Wausau Hospital, Aspirus Riverview Hospital & Clinics Inc and Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for William Wilfley was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.