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HOWARD WILEN MD
NPI 1659333920
Specialist in Clairton, PA

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
1200 BROOKS LN, SUITE G10, CLAIRTON, PA 15025(412) 469-5914(412) 469-7004 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Howard Wilen Md NPPES

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

HOWARD WILEN MD (NPI 1659333920) is an individual specialist in Clairton, Pennsylvania, licensed in Pennsylvania (MD031985E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Jefferson Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1659333920
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameHOWARD WILENCredential: MD
Location Address1200 BROOKS LN, SUITE G10Clairton, PA 15025-3747
Mailing Address1200 Brooks Ln, Suite G10Clairton, PA 15025-3747 · (412) 469-5914 · Fax (412) 469-7004
Phone(412) 469-5914
Fax(412) 469-7004
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 4, 2006
Last NPPES UpdateNovember 6, 2015
✔ NPI 1659333920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD031985E
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1200 BROOKS LN, Clairton, PA 15025
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Other Identifiers 3

Medicare UPINB40139PA
Medicare ID-Type Unspecified108119PA
Medicaid0011248170001PA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Howard Wilen 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 ID1850329145
PECOS Enrollment IDI20101117000534
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.

Medicare Billing Reassignment

Medicare enrollment records show Howard Wilen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Hills Gastroenterology Associates LLC
Same address
Gastroenterology
1200 BROOKS LN, STE G10
Clairton, PA 15025
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
NPI 1043530439 (412) 469-5914

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
64 services63 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.
51 services50 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.
48 services31 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
30 services30 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services29 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.
27 services21 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
99%201 patients5/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%833 patients3/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
100%131 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
0%433 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%338 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
87%375 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%373 patients5/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%375 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
97%375 patients5/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 131 patients
0%131 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
8%375 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. DAVID J. STAPOR M.D.
Orthopaedic Surgery
1200 BROOKS LN, SUITE 240
CLAIRTON, PA 15025
Allegheny County (412) 469-1660
SOUTH HILLS GASTROENTEROLOGY ASSOCIATES LLC
Internal Medicine (Gastroenterology)
1200 BROOKS LN, STE G10
CLAIRTON, PA 15025
Allegheny County (412) 469-5914
ALLISON MORGAN PA-C
Physician Assistant
1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025
Allegheny County (412) 729-1500
LANA P BLINER NP-C
Nurse Practitioner
1200 BROOKS LN, SUITE NUMBER 285
CLAIRTON, PA 15025
Allegheny County (412) 449-6956
PAUL DAVID LAMAN JR. MD
Internal Medicine (Critical Care Medicine)
1200 BROOKS LN, SUITE 130
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-3600
DR. NUPUR DASHOTTAR M.D.
Family Medicine
1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025
Allegheny County (412) 729-1500
KATIE F DIPASQUALE PA-C
Physician Assistant
1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025
Allegheny County (412) 729-1500
CENTER POINTE SLEEP ASSOCIATES, LLC
Clinic/Center (Sleep Disorder Diagnostic)
1200 BROOKS LN, SUITE 140
JEFFERSON HILLS, PA 15025
Allegheny County (724) 941-6595

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 Howard Wilen's NPI number?

The NPI number for Howard Wilen is 1659333920. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Howard Wilen located?

Howard Wilen practices at 1200 Brooks Ln Suite G10, Clairton, PA 15025. The listed phone number is (412) 469-5914.

What is Howard Wilen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Howard Wilen enrolled in Medicare?

Yes. Howard Wilen 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.

Which organization bills Medicare for Howard Wilen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Howard Wilen reassigns Medicare benefits to South Hills Gastroenterology Associates LLC (Clairton, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Howard Wilen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Howard Wilen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Howard Wilen 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 Howard Wilen affiliated with any hospitals?

According to CMS data, Howard Wilen is affiliated with Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Howard Wilen was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.