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DR. JAYME NYLE WILHELM O.D.
NPI 1831396795
Optometrist in Iowa City, IA

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
89.98/100
CMS Quality Rating
1060 WILLIAM ST, IOWA CITY, IA 52240(319) 338-9275(319) 338-2499 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jayme Nyle Wilhelm O.d. NPPES

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

DR. JAYME NYLE WILHELM O.D. (NPI 1831396795) is an individual optometrist in Iowa City, Iowa, licensed in Iowa (002394) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2007).

NPPES Registry Identity

NPI1831396795
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAYME NYLE WILHELMCredential: O.D.
Location Address1060 WILLIAM STIowa City, IA 52240-6625
Mailing Address1018 William StIowa City, IA 52240-6625 · (319) 338-9275 · Fax (319) 338-2499
Phone(319) 338-9275
Fax(319) 338-2499
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2007
Enumeration DateJuly 2, 2007
Last NPPES UpdateSeptember 3, 2019
✔ NPI 1831396795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IA · 002394
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1060 WILLIAM ST, Iowa City, IA 52240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Dr. Jayme Nyle Wilhelm O.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 ID7416048707
PECOS Enrollment IDI20070731000567
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 8

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
401 services399 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.
145 services113 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
42 services38 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
39 services37 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
33 services20 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52240 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

89.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.97
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%82 patients1/55-star benchmark: 87%
Diabetes: Eye Exam
99%181 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
58%31 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%2,309 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
96%27 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%760 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

DR. RACHEL HUTCHINS O.D.
Optometrist
1060 WILLIAM ST
IOWA CITY, IA 52240
Johnson County (319) 338-9275
DR. MERLE K KJONAAS OD
Optometrist
1060 WILLIAM ST
IOWA CITY, IA 52240
Johnson County (319) 338-9275
EYE ASSOCIATES OF IOWA CITY PC
Optometrist
1060 WILLIAM ST
IOWA CITY, IA 52240
Johnson County (319) 338-9275
DR. SHERI LYN ROGGY OD
Optometrist
1060 WILLIAM ST
IOWA CITY, IA 52240
Johnson County (319) 338-9275
DR. DENNIS JOSEPH SCHLADER OD
Optometrist
1060 WILLIAM ST
IOWA CITY, IA 52240
Johnson County (319) 338-9275

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 Jayme Wilhelm's NPI number?

The NPI number for Jayme Wilhelm is 1831396795. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Jayme Wilhelm located?

Jayme Wilhelm practices at 1060 William St, Iowa City, IA 52240. The listed phone number is (319) 338-9275.

What is Jayme Wilhelm's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jayme Wilhelm enrolled in Medicare?

Yes. Jayme Wilhelm 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 Jayme Wilhelm accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Jayme Wilhelm 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 Jayme Wilhelm was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.