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JEFFREY MARK WIGGINS PA
NPI 1679503445
Physician Assistant in Charlotte, NC

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1100 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-9330 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 54 more (57 updates tracked since 2018).

About Jeffrey Mark Wiggins Pa NPPES

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

JEFFREY MARK WIGGINS PA (NPI 1679503445) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (104041) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1679503445
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEFFREY MARK WIGGINSCredential: PA
Location Address1100 BLYTHE BLVDCharlotte, NC 28203-5814
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 355-9330
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 15, 202457 updates tracked since enumeration
✔ NPI 1679503445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 104041
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.
1100 BLYTHE BLVD, Charlotte, NC 28203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Jeffrey Mark Wiggins Pa 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 ID6800863689
PECOS Enrollment IDI20040911000295
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 5

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.

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.
285 services95 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services38 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
29 services28 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.
25 services24 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Residual limb support system for wheelchair, any type E1020
DME-Wheelchairs · category DD021N
1 supplier26 claims26 services$10.06 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier27 claims27 services$14.38 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier32 claims32 services$28.24 avg. paid by Medicare
High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier22 claims22 services$33.28 avg. paid by Medicare
Below knee, molded socket, shin, sach foot, endoskeletal system L5301
DME-Orthotic Devices · category DF003N
3 suppliers19 claims21 services$2,281.91 avg. paid by Medicare
Addition to lower extremity, test socket, below knee L5620
DME-Orthotic Devices · category DF003N
4 suppliers35 claims51 services$226.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ELISABETH NEELY THEODOSSIOU OTR/L
Occupational Therapist
1100 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-4370
JESSICA HUSCHART
Physical Therapist
1100 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2382
SARAH S SANGERMANO OT
Occupational Therapist
1100 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-4461
LISA M DINAPOLI PT
Physical Therapist
1100 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-4300
DANIELLE NICHOLE AMBROSE P.T.
Physical Therapist
1100 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-4300
LINDSAY M WHITE SLP
Speech-Language Pathologist
1100 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-8484
ERIN E BUDD PT
Physical Therapist
1100 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-8484
ERICA L DICKINSON DPT
Physical Therapist
1100 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-4300

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 Jeffrey Wiggins's NPI number?

The NPI number for Jeffrey Wiggins is 1679503445. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Jeffrey Wiggins located?

Jeffrey Wiggins practices at 1100 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-9330.

What is Jeffrey Wiggins's specialty?

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

Is Jeffrey Wiggins enrolled in Medicare?

Yes. Jeffrey Wiggins 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 Jeffrey Wiggins accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Jeffrey Wiggins 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 Jeffrey Wiggins affiliated with any hospitals?

According to CMS data, Jeffrey Wiggins is affiliated with Carolinas Medical Center-Northeast.

When was this NPI record last updated?

The NPPES record for Jeffrey Wiggins was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.