LEE ROSE WILDE
NPI 1700101060
Obstetrics & Gynecology in Flagstaff, AZ

Q: What is Lee Wilde's NPI number?

The NPI number for Lee Wilde is 1700101060. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Q: What is Lee Wilde's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lee Wilde was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 30, 2010PECOS EnrolledAccepts Medicare Assignment

70.58/100

CMS Quality Rating

2920 N 4TH ST, FLAGSTAFF, AZ 86004(928) 522-9400(928) 522-9736 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Sep 1, 2023, Nov 22, 2019 (3 updates tracked since 2019).

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About Lee Rose Wilde NPPES

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

LEE ROSE WILDE (NPI 1700101060) is an individual obstetrics & gynecology provider in Flagstaff, Arizona, licensed in Arizona (00821) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1700101060

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLEE ROSE WILDE

Location Address2920 N 4TH STFlagstaff, AZ 86004-1816

Mailing AddressPo Box 1231Tucson, AZ 85702-1231 · (520) 670-3909 · Fax (520) 309-2560

Phone(928) 522-9400

Fax(928) 522-9736

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 30, 2010

Last NPPES UpdateMay 12, 20263 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1700101060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in AZ · 00821

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2920 N 4TH ST, Flagstaff, AZ 86004

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Imperial Insurance Companies, Inc. 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

Lee Rose Wilde 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 ID1052554847

PECOS Enrollment IDI20240930002474

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

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.

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.

17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86004 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

70.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

39.68

Promoting Interoperability

Improvement Activities

Cost

63.1

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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.

DUNYA COPE LPC

Counselor (Professional)