MR. MAX WILMOT PHYSICIAN ASSISTANT
NPI 1871117135
Physician Assistant in Houston, TX

Active since June 02, 2020PECOS Enrolled
6621 FANNIN ST, HOUSTON, TX 77030(832) 822-4602 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2022, Jun 2, 2020 (2 updates tracked since 2020).

About Mr. Max Wilmot Physician Assistant NPPES

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

MR. MAX WILMOT PHYSICIAN ASSISTANT (NPI 1871117135) is an individual physician assistant in Houston, Texas, licensed in Texas (PA15725) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871117135
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MAX WILMOTCredential: PHYSICIAN ASSISTANT
Location Address6621 FANNIN STHouston, TX 77030-2399
Mailing Address4100 Greenbriar Dr Apt 463Houston, TX 77098-5539 · (404) 862-6033
Sole ProprietorNo
Enumeration DateJune 2, 2020
Last NPPES UpdateJune 23, 20222 updates tracked since enumeration
NPPES CertifiedJune 23, 2022
NPI 1871117135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA15725
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPediatricsTaxonomy 208000000X · License 0010-10046 (NC)
6621 FANNIN ST, Houston, TX 77030

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 (PECOS)

Mr. Max Wilmot Physician Assistant 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 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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.

Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Emergency Medicine)
6621 FANNIN ST
HOUSTON, TX 77030
Physical Therapist
6621 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6621 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Endocrinology)
6621 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Hematology-Oncology)
6621 FANNIN ST, MC 3-3320
HOUSTON, TX 77030

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 Max Wilmot's NPI number?

The NPI number for Max Wilmot is 1871117135. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Max Wilmot located?

Max Wilmot practices at 6621 Fannin St, Houston, TX 77030. The listed phone number is (832) 822-4602.

What is Max Wilmot's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Max Wilmot enrolled in Medicare?

Yes. Max Wilmot is registered in the Medicare PECOS enrollment system.

What insurance does Max Wilmot accept?

Health plans from Moda Health Plan, Inc. list Max Wilmot 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 Max Wilmot was last updated on June 23, 2022. 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.