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BENJAMIN W WILEY MD
NPI 1780649780
Pediatrics in Hixson, TN

Active since April 20, 2006PECOS Enrolled
1039 EXECUTIVE DR STE 101, HIXSON, TN 37343(423) 874-0125(423) 874-0154 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2023, Mar 16, 2017 (2 updates tracked since 2017).

About Benjamin W Wiley Md NPPES

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

BENJAMIN W WILEY MD (NPI 1780649780) is an individual pediatrics provider in Hixson, Tennessee, licensed in Tennessee (35989) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780649780
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBENJAMIN W WILEYCredential: MD
Location Address1039 EXECUTIVE DR STE 101Hixson, TN 37343-7900
Mailing Address4976 Alpha LnHixson, TN 37343-5470 · (423) 497-5355 · Fax (423) 308-0281
Phone(423) 874-0125
Fax(423) 874-0154
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateApril 6, 20232 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1780649780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 35989
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1039 EXECUTIVE DR STE 101, Hixson, TN 37343
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health 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 (PECOS)

Benjamin W Wiley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37343 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BRITTANY CRAFT WILLIAMS NP
Nurse Practitioner (Pediatrics)
1039 EXECUTIVE DR STE 101
HIXSON, TN 37343
Hamilton County (423) 874-0125
MRS. HEATHER SHAY WARD FNP
Nurse Practitioner (Family)
1039 EXECUTIVE DR STE 101
HIXSON, TN 37343
Hamilton County (423) 874-0125
DR. KATHLEEN RICHEY DEMARS
Pediatrics
1039 EXECUTIVE DR STE 101
HIXSON, TN 37343
Hamilton County (423) 874-0125
TIMOTHY P DAVIS MD
Pediatrics
1039 EXECUTIVE DR STE 101
HIXSON, TN 37343
Hamilton County (423) 874-0125
MRS. SUSAN STARBUCK JORDAN RNC, FNP
Nurse Practitioner (Family)
1039 EXECUTIVE DR STE 101
HIXSON, TN 37343
Hamilton County (423) 874-0125
DR. JON BROOKS BOROUGHS M.D.
Pediatrics
1039 EXECUTIVE DR STE 101
HIXSON, TN 37343
Hamilton County (423) 874-0125
NITA W SHUMAKER MD
Pediatrics
1039 EXECUTIVE DR STE 101
HIXSON, TN 37343
Hamilton County (423) 874-0125
DR. ELLEN PIGOTT SOUFLERIS
Pediatrics
1039 EXECUTIVE DR STE 101
HIXSON, TN 37343
Hamilton County (423) 874-0125

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 Benjamin Wiley's NPI number?

The NPI number for Benjamin Wiley is 1780649780. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Benjamin Wiley located?

Benjamin Wiley practices at 1039 Executive Dr Ste 101, Hixson, TN 37343. The listed phone number is (423) 874-0125.

What is Benjamin Wiley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Benjamin Wiley enrolled in Medicare?

Yes. Benjamin Wiley is registered in the Medicare PECOS enrollment system.

What insurance does Benjamin Wiley accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Benjamin Wiley 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.

When was this NPI record last updated?

The NPPES record for Benjamin Wiley was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.