THAD W WILKEY (PA) – Physician Assistant, NPI 1174513188
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for THAD W WILKEY (PA)
North Brinson Street, Nampa, Canyon County, Idaho, 83687, United States
NAMPA, ID 836879203
Phone: (208) 467-7546
Fax: (208) 467-7500
Type: Mailing
2101 N WHITLEY DR
FRUITLAND, ID 836192132
Phone: (208) 452-5999
Fax: (208) 452-4499
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $275.
Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($63).
Total Amount
$275
General + Research + Ownership
Payments
12
Total payment records
General Amount
$275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-03-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100329000963 | I | Physician Assistant | ID | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,213 | 163 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 289 | 195 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 262 | 172 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 213 | 147 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 93 | 68 | $0 |
Insurance plans in this area (ZIP 83687)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID |
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