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

Q: 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.

Q: What is Andrew Wilt's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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.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)

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.

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.

What insurance does Andrew Wilt accept?

Health plans from BlueCross BlueShield of Tennessee 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.