JOSEPH LEE WILDE (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1972521581

JOSEPH LEE WILDE (M.D.) is a healthcare provider. based in Timnath, Colorado. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 55030 (CO). The NPI Number for JOSEPH LEE WILDE (M.D.) is 1972521581

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH LEE WILDE (M.D.)
NPI
1972521581
Phone
(970) 673-1155
Address
PO BOX 69
Enumeration Date
18 July 2006
Last Update Date
7 June 2016

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9706731155
Graduation Year
1993 (33 years ago)
PAC ID
2062663859
Group Practice PAC ID
3870743578
Professional Enrollment ID
I20160212000817
Address ID
CO806343036GR8223XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

364 DERMATOLOGY in CO

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Provider Addresses for JOSEPH LEE WILDE (M.D.)

  • PO BOX 69

    TIMNATH, CO 80547

    Phone: (970) 673-1155

    Type: Mailing

  • 4038, South Timberline Road, Fort Collins, Larimer County, Colorado, 80525, United States

    SUITE 100

    FORT COLLINS, CO 80525

    Phone: (970) 673-1155

    Fax: (970) 673-4747

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,478.

Total Amount is formed as General ($1,478) + Research ($0) + Ownership ($0) = $1,478.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($214).

Total Amount

$1,478

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,478

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160212000817IDermatologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg10,60033$0
17003Destruction of precancer skin growth, 2-14 growths1,106150$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks381306$0
17000Destruction of precancer skin growth, 1 growth232182$0
99213Established patient office or other outpatient visit, 20-29 minutes220174$0
View full utilization report →

Insurance plans in this area (ZIP 80547)

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Provider's Procedures

JOSEPH LEE WILDE (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCO11101Biopsy of each additional growth of skin and/or tissue5234
DERMATOLOGYCO13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet3230
DERMATOLOGYCO17003Destruction of 2-14 skin growths46179

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870743578View full group profile
NameSpecialtyState
Physician AssistantNC
D E R M A T O L O G YTX
D E R M A T O L O G YCO
D E R M A T O L O G YCO
Physician AssistantCO
Physician AssistantIL

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Frequently asked questions

Is there an official ID for JOSEPH LEE WILDE (M.D.) in U.S. healthcare records?
The official identifier for JOSEPH LEE WILDE (M.D.) is NPI 1972521581.
Is there an active status for JOSEPH LEE WILDE (M.D.)?
For scheduling context, JOSEPH LEE WILDE (M.D.) is shown as active in the registry.
What expertise is attributed to JOSEPH LEE WILDE (M.D.)?
JOSEPH LEE WILDE (M.D.)'s specialty line reads MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOSEPH LEE WILDE (M.D.)?
Travel planning: use Timnath, Colorado as the reference point for JOSEPH LEE WILDE (M.D.), then confirm.
Can I trust this NPI listing for JOSEPH LEE WILDE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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