DR. JEFFREY DAVID WILKINS D.O.
NPI 1881680130
Family Medicine in Waterloo, IA

Q: What is Jeffrey Wilkins's NPI number?

The NPI number for Jeffrey Wilkins is 1881680130. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Q: What is Jeffrey Wilkins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Wilkins was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 September 22, 2005PECOS EnrolledAccepts Medicare Assignment

1825 LOGAN AVE, WATERLOO, IA 50703(319) 235-3697(319) 235-3698 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Jeffrey David Wilkins D.o. NPPES

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

DR. JEFFREY DAVID WILKINS D.O. (NPI 1881680130) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (DO-03446) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Hospital & Clinics, and maintains a secondary practice location in North Liberty.

NPPES Registry Identity

NPI1881680130

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JEFFREY DAVID WILKINSCredential: D.O.

Location Address1825 LOGAN AVEWaterloo, IA 50703-1916

Mailing Address1825 Logan AveWaterloo, IA 50703-1916 · (319) 235-3697 · Fax (319) 235-3698

Phone(319) 235-3697

Fax(319) 235-3698

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateSeptember 22, 2005

Last NPPES UpdateJuly 7, 2025

NPPES CertifiedJuly 7, 2025

✔ NPI 1881680130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · DO-03446

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License DO-03446 (IA)

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License DO-03446 (IA)

1825 LOGAN AVE, Waterloo, IA 50703

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Secondary Practice Location 1

Location 1701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 235-3697 · Fax (319) 235-3698

Other Identifiers 1

Medicaid5264507IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey David Wilkins D.o. 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 ID8628965332

PECOS Enrollment IDI20040227000932

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.

Medicare Billing Reassignments

Medicare enrollment records show Jeffrey Wilkins reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iowa Emergency Physicians LLP

4.5 mi

Emergency Medicine

3421 WEST NINTH STREET
Waterloo, IA 50702

Reassigned Medicare billing, Iowa enrollment
70 clinicians in this Medicare group

NPI 1386879427 (319) 272-8000

Grundy County Memorial Hospital

34 mi

Critical Access

201 E J AVE
Grundy Center, IA 50638

Reassigned Medicare billing, Iowa enrollment
65 clinicians in this Medicare group

NPI 1821055989 (319) 824-5421

State University Of Iowa

44 mi

Family Medicine

105 9TH AVE
Belle Plaine, IA 52208

Reassigned Medicare billing, Iowa enrollment
2,190 clinicians in this Medicare group

NPI 1194773606 (319) 444-3210

Unitypoint Health - Marshalltown

48 mi

Emergency Medicine

55 UNITYPOINT WAY
Marshalltown, IA 50158

Reassigned Medicare billing, Iowa enrollment
214 clinicians in this Medicare group

NPI 1164957593 (641) 754-5145

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

291 services280 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

211 services198 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

192 services184 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

49 services48 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number160058

Location200 Hawkins DriveIowa City, IA 52242 · Johnson County

Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 20

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

DR. KEERAN GHANDIVEL MD

Anesthesiology

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3886

MS. AMANDA L. VERVAECKE A.R.N.P.

Nurse Practitioner

1825 LOGAN AVE, WOUND & OSTOMY CLINIC
WATERLOO, IA 50703

Black Hawk County (319) 235-3121

TAYLOR KRISTIN KLINE PA, RDN

Physician Assistant

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3941

ALLEN MEMORIAL HOSPITAL CORPORATION LAB

Clinical Medical Laboratory

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3941

ELVIS SABIC ARNP

Nurse Practitioner (Family)

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3941

DR. PRADEEP MANJANBAIL RAMESH MD

Internal Medicine

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3838

SUSAN MUELLER PHARMD

Pharmacist

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (319) 235-3510

HANNAH LEIGH KELLEY LMSW

Social Worker (Clinical)

1825 LOGAN AVE
WATERLOO, IA 50703

Black Hawk County (563) 271-7700

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 Jeffrey Wilkins's NPI number?

The NPI number for Jeffrey Wilkins is 1881680130. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Jeffrey Wilkins located?

Jeffrey Wilkins practices at 1825 Logan Ave, Waterloo, IA 50703. The listed phone number is (319) 235-3697.

What is Jeffrey Wilkins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeffrey Wilkins enrolled in Medicare?

Yes. Jeffrey Wilkins 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.

Which organizations bill Medicare for Jeffrey Wilkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Wilkins reassigns Medicare benefits to 4 organizations: Iowa Emergency Physicians LLP (Waterloo, IA), Grundy County Memorial Hospital (Grundy Center, IA), State University Of Iowa (Belle Plaine, IA) and Unitypoint Health - Marshalltown (Marshalltown, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Wilkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Wilkins accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Jeffrey Wilkins 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 Jeffrey Wilkins affiliated with any hospitals?

According to CMS data, Jeffrey Wilkins is affiliated with University Of Iowa Hospital & Clinics and Allen Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Wilkins was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.