Active NPI 1205810025 Individual Practitioner Male Practitioner

Dr. William Walter Wheeler , MD

Surgery • St. Maries, ID

Professional Overview & Biography Verified Profile Summary

Dr. William Wheeler, MD is a registered healthcare professional specializing in Surgery in St. Maries, ID. Practice services are available at 229 S. 7TH STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

229 S. 7th Street

St. Maries, ID 83861

Telephone 2082455551

Fax 2082455246

Associated Practice Facility / Clinic

🏢 Benewah Community Hospital Facility NPI 1548320435

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in St. Maries, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.0 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

2 Specialists

Practicing in St. Maries, ID (187 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.6% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	29	$167.19	$84.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$162.70	$85.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$255.17	$104.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	20	$102.89	$52.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$241.71	$121.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$388.07	$156.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$363.00	$155.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$100.00	$42.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$229.00	$102.72
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$156.00	$70.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$229.00	$101.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$363.00	$154.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$100.00	$41.90
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$156.00	$69.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$241.00	$100.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	40	$156.00	$65.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$229.00	$98.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$363.00	$149.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	24	24	$56.00	$7.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$100.00	$39.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$241.00	$97.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	74	73	$36.38	$8.11
99213 Established patient office or other outpatient visit, typically 15 minutes	50	45	$139.00	$67.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$318.97	$152.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$201.87	$100.38
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$1357.00	$177.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$167.75	$68.68
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$1017.00	$83.93
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$144.67	$66.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$207.12	$100.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$82.13	$39.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$1142.50	$92.97
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	14	$1888.00	$219.24
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1388.00	$148.35

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ID M-11617

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WA MD00047560

Surgery

NUCC Taxonomy Code: 208600000X

State License CO 33639

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Labor & Industries Crime Victim

8943921 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Dr. John Mcnulty , MD

Orthopaedic Surgery

NPI 1043207418

Doctor of Medicine (M.D.)

Dr. Donald Gandy , DO

Internal Medicine

NPI 1073552808

Doctor of Osteopathic Medicine (D.O.)

Christopher Milne , RN

Registered Nurse

NPI 1104329481

Registered Nurse

Dr. Karen Libsch , MD

Family Medicine

NPI 1114996428

Doctor of Medicine (M.D.)

Dr. Craig Burns , MD

Emergency Medicine

NPI 1225472012

Doctor of Medicine (M.D.)

Dr. Jordan Johnston , DPT

Physical Therapist

NPI 1225786064

Doctor of Physical Therapy

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2017

Registered at 229 S. 7TH STREET, ST. MARIES, ID 83861 (Tel: 2082455551)

📍

Updated Business Mailing Address February 06, 2017

Registered at 229 S. 7TH STREET, ST. MARIES, ID 83861 (Tel: 2082455551)

👤

Provider Name / Credentials Updated February 06, 2017

Recorded as WILLIAM WHEELER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2017

Surgery (License #33639 in CO)

✅

NPI Profile Active December 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 21, 2016

Registered at 229 S. 7TH STREET, ST. MARIES, ID 83861 (Tel: 2082455551)

📍

Updated Business Mailing Address December 21, 2016

Registered at 229 S. 7TH STREET, ST. MARIES, ID 83861 (Tel: 2082455551)

👤

Provider Name / Credentials Updated December 21, 2016

Recorded as WILLIAM WHEELER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2016

Surgery (License #M-11617 in ID)

🟢

Initial NPI Registration & Enumeration December 05, 2005

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: 1205810025

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 05, 2005

Last Update: February 06, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

229 S. 7th Street

St. Maries, ID 83861

Phone: 2082455551

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.