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ANDREW STEVEN WILT M.D.
NPI 1902168537
Pediatrics in Johnson City, TN

Active since June 11, 2012PECOS Enrolled
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-4847(423) 431-3949 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2019, Jun 6, 2019, Feb 28, 2017 and 1 more (4 updates tracked since 2015).

About Andrew Steven Wilt M.d. NPPES

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

ANDREW STEVEN WILT M.D. (NPI 1902168537) is an individual pediatrics provider in Johnson City, Tennessee, licensed in Tennessee (52834) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1902168537
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANDREW STEVEN WILTCredential: M.D.
Location Address400 N STATE OF FRANKLIN RDJohnson City, TN 37604-6035
Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 433-6039 · Fax (423) 433-6060
Phone(423) 431-4847
Fax(423) 431-3949
Sole ProprietorNo
Enumeration DateJune 11, 2012
Last NPPES UpdateJanuary 29, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1902168537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TN · 52834✔ Licensed in SC · LL34830
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.
400 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Secondary Practice Location 1

Location 1325 N. State of Franklin Road, Ground FloorJohnson City, TN 37604-6062 · Phone (423) 439-7320 · Fax (423) 439-7343

Other Identifiers 2

MedicaidQ014921TN
Medicaid1902168537VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Steven Wilt M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Wilt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Education Assistance Corporation
2.5 mi
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1235180480 (423) 433-6039

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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 20

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

DR. CASEY JAMES WILBERT PHARM.D
Pharmacist
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-2787
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Cardiovascular Disease)
400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604
Washington County (423) 431-5965
MITCHELL DESHAZER
Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727
DR. ANDREW LEE GIBSON MD
Emergency Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
MCKENZIE PEARL GREGG PA-C, MMS, MPH
Physician Assistant
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
OLUWATOSIN ORIOLA AYANJOKE MD
Family Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
HUNTER DORTON
Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
DR. LEON CHARLES BASS M.D.
Internal Medicine (Pulmonary Disease)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727

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 Andrew Wilt's NPI number?

The NPI number for Andrew Wilt is 1902168537. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Andrew Wilt located?

Andrew Wilt practices at 400 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-4847.

What is Andrew Wilt's specialty?

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

Is Andrew Wilt enrolled in Medicare?

Yes. Andrew Wilt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Wilt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Wilt reassigns Medicare benefits to Medical Education Assistance Corporation (Johnson City, TN). The 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 Andrew Wilt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Wilt accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Andrew Wilt 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 Andrew Wilt was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.