Active NPI 1134214596 Individual Practitioner Male Practitioner

Dr. Gregory Charles Wilkens , MD

Surgery • Manchester, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Wilkens, MD is a certified Surgery practicing in Manchester, KY. With approximately 32 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1994, Dr. Wilkens delivers high-quality medical care to the local community at 515 MEMORIAL DR STE 1.

Dr. Wilkens is affiliated with Memorial Hospital, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 Memorial Dr Ste 1

Manchester, KY 409629157

Telephone 6065984534

Fax 6065992524

Associated Practice Facility / Clinic

🏢 Memorial Hospital, Inc. Facility NPI 1912137720

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Manchester, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +3.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Manchester, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilkens (32 Years) 32 Yrs

Manchester Specialty Average (29.0 Years) 29.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	27	$418.00	$93.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	26	$396.00	$123.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	15	$240.00	$74.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	18	$152.00	$46.98
46930 Destruction of internal anal hemorrhoids	18	18	$456.00	$69.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$769.00	$236.67
45380 Biopsy of large bowel using an endoscope	11	11	$608.00	$93.00
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$509.09	$151.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	53	$395.74	$125.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	34	$551.08	$80.26
99221 Initial hospital inpatient care per day, typically 30 minutes	24	22	$254.25	$79.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$822.55	$234.94
46930 Destruction of internal anal hemorrhoids	21	21	$464.90	$74.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	13	$526.00	$167.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$238.71	$76.16
45380 Biopsy of large bowel using an endoscope	11	11	$732.18	$126.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	47	45	$306.81	$95.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$1160.81	$89.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	17	$215.00	$67.67
46930 Destruction of internal anal hemorrhoids	25	25	$660.40	$71.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	16	$118.00	$36.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1402.33	$231.87
45380 Biopsy of large bowel using an endoscope	13	13	$1338.00	$136.66
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1045.18	$175.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	26	$1156.37	$72.01
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$306.96	$96.42
46930 Destruction of internal anal hemorrhoids	20	20	$666.00	$79.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$339.00	$80.47
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1004.33	$159.48
45380 Biopsy of large bowel using an endoscope	11	11	$1345.00	$160.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	33	$123.67	$24.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$500.00	$125.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$318.67	$73.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$328.00	$76.56
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$206.57	$49.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1030.54	$71.54
45380 Biopsy of large bowel using an endoscope	12	12	$1283.00	$152.11
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$316.00	$98.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	262	49	$100.00	$22.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	46	$61.00	$23.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	94	$125.00	$98.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$197.00	$148.62
11042 Removal of skin and tissue, 20.0 sq cm or less	55	24	$182.00	$56.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$135.00	$96.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	34	$61.00	$40.71
45380 Biopsy of large bowel using an endoscope	30	30	$759.00	$188.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	28	$578.00	$98.16
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$90.00	$67.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$820.00	$227.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$212.00	$125.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$135.00	$69.80
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$605.00	$170.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	221	62	$100.00	$22.58
11042 Removal of skin and tissue, 20.0 sq cm or less	187	68	$182.00	$56.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	103	$125.00	$98.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	49	$61.00	$23.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$197.00	$148.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	47	46	$578.00	$84.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	36	$61.00	$39.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$135.00	$97.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$135.00	$70.23
17250 Application of chemical to stop tissue regrowth in wound	33	14	$97.00	$32.97
45380 Biopsy of large bowel using an endoscope	28	28	$759.00	$189.82
11100 Biopsy of single growth of skin and/or tissue	21	21	$121.00	$92.19
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$87.38	$66.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$820.00	$239.85
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$638.00	$174.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$212.00	$126.27
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$99.00	$46.66
11101 Biopsy of each additional growth of skin and/or tissue	15	12	$56.93	$27.52
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$605.00	$172.78
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$88.08	$47.39
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	12	12	$800.00	$254.75

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	74	74	$197.00	$148.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	64	$125.00	$96.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	44	$578.00	$93.42
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$85.00	$65.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$212.00	$125.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$135.00	$97.49
11100 Biopsy of single growth of skin and/or tissue	24	21	$121.00	$91.38
45380 Biopsy of large bowel using an endoscope	19	19	$759.00	$187.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$820.00	$237.86
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$605.00	$170.44
11101 Biopsy of each additional growth of skin and/or tissue	16	11	$61.00	$29.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$61.00	$39.00

Medical Specialties & State Licenses

CMS Verified: 2020-01-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 38097

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 TN MD0000035379

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3885392 (TN)

Medicaid State Provider ID

64064413 (KY)

Hospital & Practice Group Affiliations

Memorial Hospital, Inc.

56 Marie Langdon Dr, Manchester, KY 409626329

Phone: 6065994080

Memorial Hospital, Inc.

515 Memorial Dr, Manchester, KY 409629157

Phone: 6065984524

Memorial Hospital, Inc.

210 Marie Langdon Dr, Manchester, KY 409626388

Secondary Practice Locations

210 Marie Langdon Dr

Manchester, KY 409626388

Phone: 6065985104

131 Hospital Lane, Suite 1

Jellico, TN 37762

Phone: 4237847269

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 16, 2020

Registered at 515 MEMORIAL DR STE 1, MANCHESTER, KY 409629157 (Tel: 6065984534)

📍

Updated Business Mailing Address January 16, 2020

Registered at 509 MEMORIAL DR STE 2, MANCHESTER, KY 409626196 (Tel: 6065985104)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 131 HOSPITAL LANE, SUITE 1, JELLICO, TN 37762 (Tel: 4237847269)

📍

Updated Business Mailing Address July 08, 2007

Registered at P. O. BOX 28, JELLICO, TN 37762 (Tel: 4237847269)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY WILKENS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #MD0000035379 in TN)

🟢

Initial NPI Registration & Enumeration October 03, 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: 1134214596

Entity Type:

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

Enumeration Date: October 03, 2006

Last Update: January 16, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

509 Memorial Dr Ste 2

Manchester, KY 409626196

Phone: 6065985104

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.