ALAN P K WILD MD
NPI 1871582692
Otolaryngology in Saint Louis, MO

Q: What is Alan Wild's NPI number?

The NPI number for Alan Wild is 1871582692. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Alan Wild's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Alan Wild was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 14, 2005PECOS Enrolled

3660 VISTA AVE, STE. 312, SAINT LOUIS, MO 63110(314) 977-5110(314) 977-5119 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Alan P K Wild Md NPPES

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

ALAN P K WILD MD (NPI 1871582692) is an individual otolaryngology provider in Saint Louis, Missouri, licensed in Missouri (R9D17) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871582692

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameALAN P K WILDCredential: MD

Location Address3660 VISTA AVE, STE. 312Saint Louis, MO 63110

Mailing Address3635 Vista Ave, P.o. Box 15250Saint Louis, MO 63110-2539 · (314) 577-8884 · Fax (314) 268-5111

Phone(314) 977-5110

Fax(314) 977-5119

Sole ProprietorNo

Enumeration DateOctober 14, 2005

Last NPPES UpdateNovember 20, 2009

✔ NPI 1871582692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in MO · R9D17

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

3660 VISTA AVE, Saint Louis, MO 63110

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Other Identifiers 3

Medicare UPINA28385

Medicare ID-Type Unspecified002010716

Other040004991MO · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan P K Wild 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 63110 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

CHRISTINA TSAI

Internal Medicine