WALLACE S WILDER M.D.
NPI 1922021518
Pediatrics in Kalispell, MT

Q: What is Wallace Wilder's NPI number?

The NPI number for Wallace Wilder is 1922021518. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Wallace Wilder'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 Wallace Wilder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 25, 2006PECOS Enrolled

210 SUNNYVIEW LN, SUITE 103, KALISPELL, MT 59901(406) 752-8300(406) 752-3542 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wallace S Wilder M.d. NPPES

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

WALLACE S WILDER M.D. (NPI 1922021518) is an individual pediatrics provider in Kalispell, Montana, licensed in Montana (3655) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922021518

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameWALLACE S WILDERCredential: M.D.

Location Address210 SUNNYVIEW LN, SUITE 103Kalispell, MT 59901-3135

Mailing Address210 Sunnyview Ln, Suite 103Kalispell, MT 59901-3135 · (406) 752-8300 · Fax (406) 752-3542

Phone(406) 752-8300

Fax(406) 752-3542

Sole ProprietorYes

Enumeration DateJuly 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1922021518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MT · 3655

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.

210 SUNNYVIEW LN, Kalispell, MT 59901

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Other Identifiers 3

Medicaid0032344MT

Other08110MT · Blue Cross

Medicare UPIND90344

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace S Wilder 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 59901 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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 10

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

KALISPELL REGIONAL MEDICAL CENTER INC

Obstetrics & Gynecology (Maternal & Fetal Medicine)

210 SUNNYVIEW LN, SUITE 103
KALISPELL, MT 59901

Flathead County (406) 257-3872

ERIN CAITLIN LAUER MD

Obstetrics & Gynecology

210 SUNNYVIEW LN
KALISPELL, MT 59901

Flathead County (406) 752-5252

KIMBERLEY MARIE FORTHOFER A.R.N.P

Nurse Practitioner (Family)

210 SUNNYVIEW LN, SUITE 201
KALISPELL, MT 59901

Flathead County (406) 752-5252

JULIE W BATES CNM

Advanced Practice Midwife

210 SUNNYVIEW LN, SUITE 101
KALISPELL, MT 59901

Flathead County (406) 751-8009

FLATHEAD UROLOGY, PLLC

Clinic/Center

210 SUNNYVIEW LN, SUITE 106
KALISPELL, MT 59901

Flathead County (406) 756-1433

WALLACE S. WILDER MD

Clinic/Center (Primary Care)

210 SUNNYVIEW LN, SUITE 103
KALISPELL, MT 59901

Flathead County (406) 752-8300

JAMES S. BONNET M.D., P.C.

Surgery

210 SUNNYVIEW LN, SUITE 101
KALISPELL, MT 59901

Flathead County (406) 257-6464

MRS. JANA J SUND CNM

Advanced Practice Midwife

210 SUNNYVIEW LN, SUITE 101
KALISPELL, MT 59901

Flathead County (406) 751-8009

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 Wallace Wilder's NPI number?

The NPI number for Wallace Wilder is 1922021518. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Wallace Wilder located?

Wallace Wilder practices at 210 Sunnyview Ln Suite 103, Kalispell, MT 59901. The listed phone number is (406) 752-8300.

What is Wallace Wilder's specialty?

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

Is Wallace Wilder enrolled in Medicare?

Yes. Wallace Wilder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wallace Wilder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.