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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PAUL D WOLFE MD
NPI 1669410411
Pediatrics in Marion, IN

Active since June 03, 2006PECOS Enrolled
2620 S WESTERN AVE, MARION, IN 46953(765) 573-2530(765) 573-2535 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2026, Dec 2, 2025, Sep 15, 2025 (3 updates tracked since 2025).

About Dr. Paul D Wolfe Md NPPES

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

DR. PAUL D WOLFE MD (NPI 1669410411) is an individual pediatrics provider in Marion, Indiana, licensed in Indiana (01043039A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669410411
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PAUL D WOLFECredential: MD
Location Address2620 S WESTERN AVEMarion, IN 46953-3556
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(765) 573-2530
Fax(765) 573-2535
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateOctober 21, 20263 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1669410411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01043039A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2620 S WESTERN AVE, Marion, IN 46953
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14070 Highway 17Murrells Inlet, SC 29576-5033 · Phone (843) 652-1000 · Fax (843) 520-8403
Location 2606 Black River RdGeorgetown, SC 29440-3304 · Phone (843) 527-7000 · Fax (843) 520-8403
Location 31100 Reid PkwyRichmond, IN 47374-1157 · Phone (765) 983-3492 · Fax (765) 983-7958

Other Identifiers 1

Medicaid200060550IN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul D Wolfe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

8

Medicare enrollment records show Paul Wolfe reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Health Centers Inc.
Same address
Federally Qualified Health Center (FQHC)
2620 S WESTERN AVE
Marion, IN 46953
  • Reassigned Medicare billing, Indiana enrollment
  • 63 clinicians in this Medicare group
NPI 1013880913 (260) 266-0780
Parkview Health System,inc
27 mi
Family Medicine
2003 STULTS RD STE 100
Huntington, IN 46750
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1467779124 (260) 356-5424
Emergency Coverage, LLC
343 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Hospital Physician Services - Southeast Professional Corporation
477 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, North Carolina enrollment
  • 511 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461
Southeastern Hospitalist Services PC
601 mi
Hospitalist
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 529 clinicians in this Medicare group
NPI 1003280108 (843) 692-1000
Waccamaw Community Hospital
605 mi
General Acute Care Hospital
4070 HIGHWAY 17 BYPASS
Murrells Inlet, SC 29576
  • Reassigned Medicare billing, South Carolina enrollment
  • 249 clinicians in this Medicare group
NPI 1972503910 (843) 652-1000
Georgetown Memorial Hospital
607 mi
General Acute Care Hospital
606 BLACK RIVER RD
Georgetown, SC 29440
  • Reassigned Medicare billing, South Carolina enrollment
  • 261 clinicians in this Medicare group
NPI 1982604021 (843) 527-7000
Billings Clinic
1,087 mi
Family Medicine
620 S HAYNES AVE
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
NPI 1427194836 (406) 233-7000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46953 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 11

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

ALLIANCE HEALTH CENTERS INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2620 S WESTERN AVE
MARION, IN 46953
Grant County (260) 266-0780
RICHARD AYALA RPH
Pharmacist
2620 S WESTERN AVE
MARION, IN 46953
Grant County (765) 668-0208
KARA DAVIS PA-C
Physician Assistant
2620 S WESTERN AVE
MARION, IN 46953
Grant County (260) 355-3110
ANNE BALES
Pharmacy Technician
2620 S WESTERN AVE
MARION, IN 46953
Grant County (765) 668-0208
RACHEL ELLEN WILCOX RPH
Pharmacist
2620 S WESTERN AVE
MARION, IN 46953
Grant County (765) 668-0208
DR. MATTHEW JOHN BRADFORD MCADAMS DO
Internal Medicine
2620 S WESTERN AVE
MARION, IN 46953
Grant County (765) 573-2530
COURTNEY REEDER
Nurse Practitioner
2620 S WESTERN AVE
MARION, IN 46953
Grant County (765) 573-2530
MISTY MARIE STEVENS FNP-C
Nurse Practitioner
2620 S WESTERN AVE
MARION, IN 46953
Grant County (765) 573-2530

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 Paul Wolfe's NPI number?

The NPI number for Paul Wolfe is 1669410411. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Paul Wolfe located?

Paul Wolfe practices at 2620 S Western Ave, Marion, IN 46953. The listed phone number is (765) 573-2530.

What is Paul Wolfe's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Wolfe enrolled in Medicare?

Yes. Paul Wolfe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Wolfe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Wolfe reassigns Medicare benefits to 8 organizations: Alliance Health Centers Inc. (Marion, IN), Parkview Health System,inc (Huntington, IN), Emergency Coverage, LLC (Newport, TN), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Southeastern Hospitalist Services PC (Myrtle Beach, SC) and 3 more organizations, listed in the Medicare section above. Each 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 Paul Wolfe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Wolfe accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Paul Wolfe 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.

When was this NPI record last updated?

The NPPES record for Paul Wolfe was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.