DR. STEPHEN ALEXANDER WILKES M.D.
NPI 1730406489
Psychiatry & Neurology - Psychiatry in Cincinnati, OH

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
2139 AUBURN AVE, CINCINNATI, OH 45219(513) 585-2414 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2021, Dec 18, 2018, Jan 14, 2016 (3 updates tracked since 2016).

About Dr. Stephen Alexander Wilkes M.d. NPPES

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

DR. STEPHEN ALEXANDER WILKES M.D. (NPI 1730406489) is an individual psychiatry provider in Cincinnati, Ohio, licensed in Ohio (35.120413) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and maintains a secondary practice location in Batavia.

NPPES Registry Identity

NPI1730406489
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. STEPHEN ALEXANDER WILKESCredential: M.D.
Location Address2139 AUBURN AVECincinnati, OH 45219-2906
Mailing Address2139 Auburn AveCincinnati, OH 45219-2906 · (513) 585-2414
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2010
Enumeration DateApril 21, 2010
Last NPPES UpdateOctober 4, 20213 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
NPI 1730406489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in OH · 35.120413
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 35.120413 (OH)
2139 AUBURN AVE, Cincinnati, OH 45219

Secondary Practice Location 1

Location 13000 Hospital DrBatavia, OH 45103-1921 · Phone (513) 732-8629 · Fax (513) 732-8626

Other Identifiers 2

Medicaid7100373030KY
Medicaid0116468OH

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

Dr. Stephen Alexander Wilkes 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 ID5496994527
PECOS Enrollment IDI20140513001373
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 4

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.
116 services43 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.
41 services40 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.
30 services28 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.
21 services13 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

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.

Nurse Practitioner (Acute Care)
2139 AUBURN AVE
CINCINNATI, OH 45219
Anesthesiologist Assistant
2139 AUBURN AVE
CINCINNATI, OH 45219
Anesthesiologist Assistant
2139 AUBURN AVE
CINCINNATI, OH 45219
Pharmacist
2139 AUBURN AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
2139 AUBURN AVE
CINCINNATI, OH 45219
Dietitian, Registered
2139 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine (Cardiovascular Disease)
2139 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine
2139 AUBURN AVE, ROOM 6166
CINCINNATI, OH 45219

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 Stephen Wilkes's NPI number?

The NPI number for Stephen Wilkes is 1730406489. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Stephen Wilkes located?

Stephen Wilkes practices at 2139 Auburn Ave, Cincinnati, OH 45219. The listed phone number is (513) 585-2414.

What is Stephen Wilkes's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Stephen Wilkes enrolled in Medicare?

Yes. Stephen Wilkes 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 Stephen Wilkes accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Stephen Wilkes 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 Stephen Wilkes affiliated with any hospitals?

According to CMS data, Stephen Wilkes is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Wilkes was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.