JESSICA MARIE WILDER (M.D.) – Diagnostic Radiology Physician, NPI 1295016780
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
Provider Addresses for JESSICA MARIE WILDER (M.D.)
105 Grand Central Blvd Ste 106
Pooler, GA 313224148
Phone: (912) 355-6255
Type: Location
318 MALL BLVD
#300B
SAVANNAH, GA 314064797
Phone: (912) 358-1515
Type: Location
503 EISENHOWER DR
SAVANNAH, GA 314062668
Phone: (123) 556-2559
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160705000633 | I | Diagnostic Radiology | GA | TBD |
| I20210806001247 | I | Diagnostic Radiology | SC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 6,241 | 67 | $0 |
| 77063 | Screening 3d breast mammography | 182 | 182 | $0 |
| 77067 | Screening mammography | 181 | 181 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 167 | 165 | $0 |
| 71046 | X-ray of chest, 2 views | 146 | 145 | $0 |
Insurance plans in this area (ZIP 31322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Physical Therapist In Private Practice | GA | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | GA |
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