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JAMES GENE WILCOX MD
NPI 1942613963
Family Medicine in Austin, IN

Active since June 06, 2014PECOS Enrolled
91.49/100
CMS Quality Rating
45 W MAIN ST, AUSTIN, IN 47102(812) 794-8100 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 12, 2021, Oct 31, 2018, Aug 16, 2018 and 1 more (4 updates tracked since 2017).

About James Gene Wilcox Md NPPES

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

JAMES GENE WILCOX MD (NPI 1942613963) is an individual family medicine provider in Austin, Indiana, licensed in Indiana (01075787A) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1942613963
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES GENE WILCOXCredential: MD
Location Address45 W MAIN STAustin, IN 47102
Mailing Address720 Eskenazi Ave, Fifth Third Bank Bldg, 5th FlIndianapolis, IN 46202-5166 · (317) 880-4121 · Fax (317) 880-4121
Phone(812) 794-8100
Sole ProprietorNo
Enumeration DateJune 6, 2014
Last NPPES UpdateNovember 12, 20214 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
✔ NPI 1942613963 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 IN · 01075787A
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 01075787A (IN)
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 01075787A (IN)
45 W MAIN ST, Austin, IN 47102
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11000 Oakland DrKalamazoo, MI 49008-1282 · Phone (269) 337-6611
Location 225 W Main StAustin, IN 47102-1303 · Phone (317) 531-6506
Location 31451 N Gardner StScottsburg, IN 47170-7751 · Phone (812) 752-3456
Location 4720 Eskeanzi Ave, FL 2Indianapolis, IN 46202-5189 · Phone (317) 880-7000 · Fax (317) 880-0526

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Gene Wilcox Md 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 Reassignments

3

Medicare enrollment records show James Wilcox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Medicine Services Of Tennessee PC
56 mi
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Indiana enrollment
  • 39 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010
The Health And Hospital Corporation Of Marion County
72 mi
Federally Qualified Health Center (FQHC)
1434 SHELBY ST
Indianapolis, IN 46203
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
NPI 1023357472 (317) 655-3200
Southeastern Emergency Physicians Of Memphis LLC
235 mi
Emergency Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Indiana enrollment
  • 77 clinicians in this Medicare group
NPI 1437105277 (618) 463-7474

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 47102 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.84
Promoting Interoperability97
Improvement Activities40
Cost46.2

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims31 services$5.32 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$108.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Wilcox's NPI number?

The NPI number for James Wilcox is 1942613963. It was assigned to this individual provider in the NPPES registry on June 6, 2014.

Where is James Wilcox located?

James Wilcox practices at 45 W Main St, Austin, IN 47102. The listed phone number is (812) 794-8100.

What is James Wilcox's specialty?

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

Is James Wilcox enrolled in Medicare?

Yes. James Wilcox is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Wilcox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Wilcox reassigns Medicare benefits to 3 organizations: Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN), The Health And Hospital Corporation Of Marion County (Indianapolis, IN) and Southeastern Emergency Physicians Of Memphis LLC (Alton, IL). 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 James Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Wilcox was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.