MATTHEW ROBERT WILKINS
NPI 1912467861
Family Medicine in Downers Grove, IL

Q: What is Matthew Wilkins's NPI number?

The NPI number for Matthew Wilkins is 1912467861. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Matthew 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 Matthew Wilkins was last updated on August 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment

3743 HIGHLAND AVE STE 1001, DOWNERS GROVE, IL 60515(630) 963-9667(630) 963-9936 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2022, Aug 19, 2022 (2 updates tracked since 2022).

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About Matthew Robert Wilkins NPPES

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

MATTHEW ROBERT WILKINS (NPI 1912467861) is an individual family medicine provider in Downers Grove, Illinois, licensed in Illinois (036.158486) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1912467861

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW ROBERT WILKINS

Location Address3743 HIGHLAND AVE STE 1001Downers Grove, IL 60515-1594

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757

Phone(630) 963-9667

Fax(630) 963-9936

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 25, 2019

Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1912467861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036.158486

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3743 HIGHLAND AVE STE 1001, Downers Grove, IL 60515

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Secondary Practice Location 1

Location 1836 W Wellington AveChicago, IL 60657 · Phone (773) 957-1600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Robert Wilkins 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 ID8325420466

PECOS Enrollment IDI20220805000492

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.

Areas of Expertise CMS Part B claims 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

300 services140 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

70 services70 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

51 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services32 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

36 services31 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

36 services35 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

33 services32 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

28 services25 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

27 services27 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

26 services26 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

23 services23 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

17 services17 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County

Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140288

Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

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Other Providers at the Same Location NPPES 5

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

DR. ROBERT F KING MD

Internal Medicine

3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515

Dupage County (630) 963-9667

MRS. MICHELLE A SALERNO-SHORTT RD,LDN,CDE

Dietitian, Registered

3743 HIGHLAND AVE STE 1001, DUPAGE MEDICAL GROUP
DOWNERS GROVE, IL 60515

Dupage County (630) 435-6137

DR. RIZWAN MAHMOOD MD

Internal Medicine

3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515

Dupage County (630) 963-9667

DR. BRIAN D SKLAR M.D.

Obstetrics & Gynecology

3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515

Dupage County (630) 620-8061

DR. MONICA K MARTIN MD

Internal Medicine

3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515

Dupage County (630) 963-9667

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 Matthew Wilkins's NPI number?

The NPI number for Matthew Wilkins is 1912467861. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Matthew Wilkins located?

Matthew Wilkins practices at 3743 Highland Ave Ste 1001, Downers Grove, IL 60515. The listed phone number is (630) 963-9667.

What is Matthew Wilkins's specialty?

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

Is Matthew Wilkins enrolled in Medicare?

Yes. Matthew 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.

What insurance does Matthew Wilkins accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Matthew 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 Matthew Wilkins affiliated with any hospitals?

According to CMS data, Matthew Wilkins is affiliated with Advocate Illinois Masonic Medical Center, Advocate Christ Hospital & Medical Center and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Wilkins was last updated on August 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.