Active NPI 1659333920 Individual Practitioner Male Practitioner

Dr. Howard Wilen , MD

Specialist • Clairton, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Howard Wilen, MD is a certified Specialist practicing in Clairton, PA. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Wilen delivers high-quality medical care to the local community at 1200 BROOKS LN.

Dr. Wilen is affiliated with South Hills Gastroenterology Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an 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

1200 Brooks Ln
Suite G10

Clairton, PA 150253747

Telephone 4124695914

Fax 4124697004

Associated Practice Facility / Clinic

🏢 Regional Diagnostics, Llc Facility NPI 1972591279

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Clairton, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +1.5 yrs vs City Avg

City Avg: 43.5 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Clairton, PA (2255 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilen (45 Years) 45 Yrs

Clairton Specialty Average (43.5 Years) 43.5 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
45380 Biopsy of large bowel using an endoscope	64	63	$675.00	$179.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	50	$180.00	$123.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	31	$115.00	$74.71
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$580.00	$172.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$500.00	$102.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	21	$80.00	$46.93
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$445.00	$101.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	86	86	$675.00	$172.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	25	$115.00	$76.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	48	$180.00	$120.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	43	$500.00	$110.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	28	$80.00	$46.45
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$580.00	$174.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	82	82	$675.00	$188.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	41	$115.00	$68.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	58	54	$500.00	$109.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	53	$180.00	$129.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	26	$80.00	$37.51
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$580.00	$178.81
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$150.00	$97.58
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$445.00	$104.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	46	$115.00	$70.28
45380 Biopsy of large bowel using an endoscope	67	67	$675.00	$195.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$180.00	$132.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	42	$500.00	$116.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	32	$80.00	$37.57
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$580.00	$183.14
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$150.00	$98.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	51	$115.00	$71.75
45380 Biopsy of large bowel using an endoscope	71	71	$675.00	$182.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	42	$80.00	$39.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	41	$180.95	$137.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	39	$500.00	$124.72
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$95.00	$63.58
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$150.00	$101.49
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$580.00	$187.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	135	134	$675.00	$196.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	119	74	$115.00	$72.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	66	$500.00	$121.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	52	$80.00	$39.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$180.00	$136.79
99213 Established patient office or other outpatient visit, typically 15 minutes	40	32	$95.00	$72.90
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$580.00	$190.95
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$150.00	$101.44
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$445.00	$106.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	121	80	$105.00	$71.80
45380 Biopsy of large bowel using an endoscope	99	99	$675.00	$200.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	66	$170.15	$134.99
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	63	63	$500.00	$121.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	44	$70.00	$38.73
99213 Established patient office or other outpatient visit, typically 15 minutes	44	34	$85.00	$68.85
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$140.00	$100.25
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$580.00	$188.24
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$445.00	$120.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$120.00	$98.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	120	74	$95.00	$70.75
45380 Biopsy of large bowel using an endoscope	100	100	$675.00	$196.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	75	73	$500.00	$129.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	61	$60.00	$38.53
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$85.00	$68.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$150.00	$134.27
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$131.03	$99.62

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD031985E

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0011248170001 (PA)

Hospital & Practice Group Affiliations

South Hills Gastroenterology Associates Llc

1200 Brooks Ln, Clairton, PA 150253761

Phone: 4124695914

Practice Associates & Co-Workers

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

5 Associated Practitioners

Maria Joseph , PA-C

Specialist

NPI 1083841282

Physician Assistant (Certified)

Alexis Cowieson , PA

Physician Assistant

NPI 1124614110

Physician Assistant

Kelly Martin , MSN

Nurse Practitioner - Family

NPI 1346390960

Master of Science in Nursing

Heather James

Nurse Practitioner - Family

NPI 1386952752

Elisa Bosilovic , PA-C

Physician Assistant

NPI 1740555283

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 06, 2015

Registered at 1200 BROOKS LN, SUITE G10, CLAIRTON, PA 150253747 (Tel: 4124695914)

📍

Updated Business Mailing Address November 06, 2015

Registered at 1200 BROOKS LN, SUITE G10, CLAIRTON, PA 150253747 (Tel: 4124695914)

👤

Provider Name / Credentials Updated November 06, 2015

Recorded as HOWARD WILEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2015

Specialist (License #MD031985E in PA)

🟢

Initial NPI Registration & Enumeration April 04, 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: 1659333920

Entity Type:

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

Enumeration Date: April 04, 2006

Last Update: November 06, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 Brooks Ln, Suite G10

Clairton, PA 150253747

Phone: 4124695914

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.