Active NPI 1124040712 Individual Practitioner Male Practitioner

Dr. David W Wilcox , MD

Family Medicine • Bemidji, MN

Professional Overview & Biography Verified Profile Summary

Dr. David Wilcox, MD is a registered healthcare professional specializing in Family Medicine in Bemidji, MN. Practice services are available at 1300 ANNE ST NW under active NPI credentials.

Frequently performed procedures and clinical services include fee covid-19 vac 13 res, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 Anne St Nw

Bemidji, MN 566015103

Telephone 2183335000

Associated Practice Facility / Clinic

🏢 Sanford Health Of Northern Minnesota Facility NPI 1801870191

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Bemidji, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.4 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

30 Specialists

Practicing in Bemidji, MN (4134 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.1% 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
0124A Fee covid-19 vac 13 res	33	33	$85.00	$38.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	26	$260.00	$88.75
0124A Fee covid-19 vac 13 res	28	28	$85.00	$38.89
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	18	18	$85.00	$38.89

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	156	88	$108.44	$95.88
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	112	112	$57.00	$28.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$325.80	$133.01
0064A Adm sarscov2 50mcg/0.25mlbst	35	35	$85.00	$40.01
0004A Fee covid-19 vac 1 res	25	25	$85.00	$40.01
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$75.22	$64.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$155.64	$138.06

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	150	91	$90.15	$78.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	49	$127.66	$111.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$320.43	$117.48
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$58.00	$49.08

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	201	110	$90.00	$77.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	64	$127.00	$109.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$305.53	$116.38
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$58.00	$50.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	11	$239.40	$90.71

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	104	59	$90.00	$76.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	49	$127.00	$105.67
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	39	13	$229.00	$89.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$288.84	$115.19
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$58.00	$50.00

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	189	80	$87.38	$75.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$283.62	$113.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	33	$123.93	$108.23
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$57.18	$48.35
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	15	$220.63	$89.37

Medical Specialties & State Licenses

CMS Verified: 2022-04-28

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License MN 31971

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

669388100 (MN)

Secondary Practice Locations

1611 Anne St Nw

Bemidji, MN 566015114

Phone: 2183335351

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kayla Mcclellan , AuD

Audiologist

NPI 1003392887

Doctor of Audiology

Deborah Steinbar , PA-C

Physician Assistant - Medical

NPI 1013230051

Physician Assistant (Certified)

Donna Shorter , PA-C

Physician Assistant

NPI 1013938232

Physician Assistant (Certified)

Dr. Benjamin Roy , MD

Surgery

NPI 1023076064

Doctor of Medicine (M.D.)

Kayla Kaiser , FNP-BC

Nurse Practitioner - Family

NPI 1023633096

Family Nurse Practitioner (Board Certified)

Dr. Rodney Will , MD

Internal Medicine

NPI 1033131628

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 07, 2022

Registered at 1300 ANNE ST NW, BEMIDJI, MN 566015103 (Tel: 2183335000)

📍

Updated Business Mailing Address December 07, 2022

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

✅

NPI Profile Active December 13, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2011

Registered at 1611 ANNE ST NW, BEMIDJI, MN 566015114 (Tel: 2183335351)

📍

Updated Business Mailing Address December 13, 2011

Registered at 1611 ANNE ST NW, BEMIDJI, MN 566015114 (Tel: 2183335351)

👤

Provider Name / Credentials Updated December 13, 2011

Recorded as DAVID WILCOX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2011

Family Medicine (License #31971 in MN)

🟢

Initial NPI Registration & Enumeration July 24, 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: 1124040712

Entity Type:

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

Enumeration Date: July 24, 2006

Last Update: December 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

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.