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MICHAEL G. WILCOX M.D.
NPI 1689618803
Surgery in Billings, MT

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
85.63/100
CMS Quality Rating
2900 12TH AVE N, SUITE 355W, BILLINGS, MT 59101(406) 238-6470(406) 238-6499 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael G. Wilcox M.d. NPPES

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

MICHAEL G. WILCOX M.D. (NPI 1689618803) is an individual surgery provider in Billings, Montana, licensed in Montana (10697) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1991).

NPPES Registry Identity

NPI1689618803
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL G. WILCOXCredential: M.D.
Location Address2900 12TH AVE N, SUITE 355WBillings, MT 59101-7506
Mailing Address2900 12th Ave N, Suite 355wBillings, MT 59101-7506 · (406) 238-6470 · Fax (406) 238-6499
Phone(406) 238-6470
Fax(406) 238-6499
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1991
Enumeration DateJune 16, 2006
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1689618803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MT · 10697
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.
2900 12TH AVE N, Billings, MT 59101
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Other Identifiers 1

Medicare UPINF65438MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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

Michael G. Wilcox 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 ID8527001346
PECOS Enrollment IDI20110912000740
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 10

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 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.
96 services47 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.
43 services43 patients
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.
34 services34 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.
23 services20 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 services17 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.
20 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Beartooth Billings Clinic

Critical Access Hospitals · Red Lodge, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271326
Location2525 N BroadwayRed Lodge, MT 59068 · Carbon County

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

85.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.87
Improvement Activities40
Cost68.28

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.

DANIEL M MOLLOY M.D.
Obstetrics & Gynecology
2900 12TH AVE N, STE 245W
BILLINGS, MT 59101
Yellowstone County (406) 238-6010
ST VINCENT HEALTHCARE
Clinic/Center
2900 12TH AVE N, SUITE 130W
BILLINGS, MT 59101
Yellowstone County (406) 237-3620
ST. VINCENT HEALTHCARE
Clinic/Center (Multi-Specialty)
2900 12TH AVE N, SUITE 340W
BILLINGS, MT 59101
Yellowstone County (406) 237-4050
CHARLES MCCLAVE MD
Internal Medicine
2900 12TH AVE N, SUITE 160W
BILLINGS, MT 59101
Yellowstone County (406) 237-8500
DAVID W SHENTON JR. M.D.
Orthopaedic Surgery (Sports Medicine)
2900 12TH AVE N, #100E
BILLINGS, MT 59101
Yellowstone County (406) 238-6700
DR. ROBERT E STOCKDALE M.D.
Urology
2900 12TH AVE N, STE 503E
BILLINGS, MT 59101
Yellowstone County (406) 237-5400
TAD A. STICHMAN PA-C
Physician Assistant
2900 12TH AVE N, SUITE 140W
BILLINGS, MT 59101
Yellowstone County (406) 237-5050
FRED V SCHNEIDER M.D.
Surgery
2900 12TH AVE N, STE 502E
BILLINGS, MT 59101
Yellowstone County (406) 245-6982

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 Michael Wilcox's NPI number?

The NPI number for Michael Wilcox is 1689618803. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Michael Wilcox located?

Michael Wilcox practices at 2900 12th Ave N Suite 355W, Billings, MT 59101. The listed phone number is (406) 238-6470.

What is Michael Wilcox's specialty?

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

Is Michael Wilcox enrolled in Medicare?

Yes. Michael Wilcox 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 Michael Wilcox accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Michael Wilcox 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 Michael Wilcox affiliated with any hospitals?

According to CMS data, Michael Wilcox is affiliated with St Vincent Healthcare, Beartooth Billings Clinic and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Michael Wilcox was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.