WILMAN ORTEGA PEREZ M.D.
NPI 1720174246
Internal Medicine - Pulmonary Disease in Belleville, IL

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
4600 MEMORIAL DR, STE. 200, BELLEVILLE, IL 62226(618) 233-2220(618) 233-2555 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilman Ortega Perez M.d. NPPES

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

WILMAN ORTEGA PEREZ M.D. (NPI 1720174246) is an individual pulmonary disease provider in Belleville, Illinois, licensed in Illinois (036098393) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lincoln, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1720174246
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameWILMAN ORTEGA PEREZCredential: M.D.
Location Address4600 MEMORIAL DR, STE. 200Belleville, IL 62226-5368
Mailing Address4600 Memorial Dr, Ste. 200Belleville, IL 62226-5368 · (618) 233-2220 · Fax (618) 233-2555
Fax(618) 233-2555
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 20, 2014
NPI 1720174246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IL · 036098393
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
4600 MEMORIAL DR, Belleville, IL 62226

Other Identifiers 2

Medicare UPINH51640
Other036098393IL · Idfpr

Accepted 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

Wilman Ortega Perez 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 ID7810049939
PECOS Enrollment IDI20100927001076, I20201231001366
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.

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.
74 services47 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
45 services44 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
44 services43 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.
41 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services16 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Lincoln

Critical Access Hospitals · Troy, MO
OwnershipGovernment - Local
CMS Certification Number261319
Location1000 East Cherry StreetTroy, MO 63379 · Lincoln County
Emergency services

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$38.62 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$91.92 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers12 claims36 services$34.74 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers16 claims17 services$50.71 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers19 claims19 services$16.70 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers16 claims16 services$10.50 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.

Family Medicine
4600 MEMORIAL DR, STE 160
BELLEVILLE, IL 62226
Nurse Practitioner (Obstetrics & Gynecology)
4600 MEMORIAL DR, STE. 400
BELLEVILLE, IL 62226
Family Medicine
4600 MEMORIAL DR, SUITE 100
BELLEVILLE, IL 62226
Internal Medicine
4600 MEMORIAL DR, SUITE 100
BELLEVILLE, IL 62226
Surgery (Vascular Surgery)
4600 MEMORIAL DR, SUITE120
BELLEVILLE, IL 62226
Podiatrist
4600 MEMORIAL DR, SUITE 300
BELLEVILLE, IL 62226
Pediatrics
4600 MEMORIAL DR, SUITE 280
BELLEVILLE, IL 62226
Surgery (Vascular Surgery)
4600 MEMORIAL DR, STE 240
BELLEVILLE, IL 62226

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 Wilman Ortega Perez's NPI number?

The NPI number for Wilman Ortega Perez is 1720174246. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Wilman Ortega Perez located?

Wilman Ortega Perez practices at 4600 Memorial Dr Ste. 200, Belleville, IL 62226. The listed phone number is (618) 233-2220.

What is Wilman Ortega Perez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Wilman Ortega Perez enrolled in Medicare?

Yes. Wilman Ortega Perez 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 Wilman Ortega Perez accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Medica, Octave and UnitedHealthcare list Wilman Ortega Perez 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 Wilman Ortega Perez affiliated with any hospitals?

According to CMS data, Wilman Ortega Perez is affiliated with Mercy Hospital Lincoln and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Wilman Ortega Perez was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.