ANTHONY WHEELER MD
NPI 1639639396
Pathology - Anatomic Pathology & Clinical Pathology in Modesto, CA

Q: What is Anthony Wheeler's NPI number?

The NPI number for Anthony Wheeler is 1639639396. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Anthony Wheeler's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Wheeler was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment

4301 N STAR WAY, MODESTO, CA 95356(209) 577-1200 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Jul 1, 2019, Mar 20, 2019 (3 updates tracked since 2019).

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About Anthony Wheeler Md NPPES

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

ANTHONY WHEELER MD (NPI 1639639396) is an individual anatomic pathology & clinical pathology provider in Modesto, California, licensed in California (A196533) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Maywood, and is a graduate of University Of Wisconsin School Of Medicine (2018).

NPPES Registry Identity

NPI1639639396

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameANTHONY WHEELERCredential: MD

Location Address4301 N STAR WAYModesto, CA 95356-9262

Mailing Address110 S Hancock St Apt 1Madison, WI 53703-3444

Phone(209) 577-1200

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2018

Enumeration DateMarch 20, 2019

Last NPPES UpdateJune 11, 20253 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1639639396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in CA · A196533✔ Licensed in IL · 125.074981

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4301 N STAR WAY, Modesto, CA 95356

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Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (305) 710-7662

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

Anthony Wheeler 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.

PECOS PAC ID2062924129

PECOS Enrollment IDI20250624003006

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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.

DR. SCOTT GOODWIN SILVEIRA M. D.

Pathology (Anatomic Pathology & Clinical Pathology)