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Active NPI 1952378929 Individual Practitioner Male Practitioner

Dr. Brian Wiboon , DO

Emergency Medicine • Windermere, FL

Professional Overview & Biography Verified Profile Summary

Dr. Brian Wiboon, DO is a registered healthcare professional specializing in Emergency Medicine in Windermere, FL. Practice services are available at 5143 TILDENS GROVE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5143 Tildens Grove Blvd

Windermere, FL 347865702

Telephone 4076569908
Fax 4076569908

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Windermere, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Windermere, FL (4182 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $216.00 $108.52

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License FL OS0008848

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
267324000 (FL)
Commercial Insurance / Payer ID Bcbs
71049 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 23, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2012

Registered at 5143 TILDENS GROVE BLVD, WINDERMERE, FL 347865702 (Tel: 4076569908)

📍
Updated Business Mailing Address March 23, 2012

Registered at 5143 TILDENS GROVE BLVD, WINDERMERE, FL 347865702 (Tel: 4076569908)

👤
Provider Name / Credentials Updated March 23, 2012

Recorded as BRIAN WIBOON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2012

Emergency Medicine (License #OS0008848 in FL)

🟢
Initial NPI Registration & Enumeration March 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952378929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2006
Last Update: March 23, 2012
Sole Proprietor: Yes

Mailing Address

5143 Tildens Grove Blvd

Windermere, FL 347865702

Phone: 4076569908

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.