DR. WESLEY UPDIKE (M.D.) – Family Medicine Physician, NPI 1053623884

DR. WESLEY UPDIKE (M.D.) is a healthcare provider. based in Anna, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036172469 (IL). The NPI Number for DR. WESLEY UPDIKE (M.D.) is 1053623884

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. WESLEY UPDIKE (M.D.)
NPI
1053623884
Phone
(618) 833-4511
Address
517 N Main St
Enumeration Date
9 July 2010
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3182542100
Graduation Year
2009 (17 years ago)
PAC ID
9931357639
Group Practice PAC ID
9638246846
Professional Enrollment ID
I20211019000304
Address ID
LA712705950RU401XXAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:15State licenses:6Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. WESLEY UPDIKE (M.D.)

  • 517 N Main St

    Anna, IL 629061668

    Phone: (618) 833-4511

    Type: Location

  • 150 Memorial Dr

    Kingwood, WV 265371141

    Phone: (304) 329-1400

    Type: Location

  • 10502 N 110TH EAST AVE

    OWASSO, OK 740556655

    Phone: (918) 810-5396

    Type: Mailing

  • 3203 S Main St

    Lindale, TX 757717727

    Phone: (903) 266-4000

    Type: Location

  • 2351 Viking Dr

    Bossier City, LA 711112133

    Phone: (318) 681-7000

    Type: Location

  • 1505 State Highway 19 S

    Athens, TX 757518950

    Phone: (903) 675-1725

    Type: Location

  • 18780 Interstate 20

    Canton, TX 751033593

    Phone: (903) 567-4841

    Type: Location

  • 1453 E Bert Koun Loop

    Shreveport, LA 711056800

    Phone: (318) 681-7000

    Type: Location

  • 230 Hospital Plz

    Weston, WV 264528558

    Phone: (304) 269-8000

    Fax: (304) 269-8090

    Type: Location

  • 15495 N 247 RD

    OKMULGEE, OK 744477969

    Phone: (918) 733-1351

    Fax: (866) 611-2680

    Type: Mailing

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: 2025-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

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
I20130205000361IFamily PracticeOKTBD
I20170301002409IEmergency MedicineTXTBD
I20211019000304IFamily PracticeLATBD
I20240807004421IFamily PracticeNMTBD
I20241205000246IFamily PracticeMNTBD
I20250307001308IFamily PracticeILTBD
I20250408003485IFamily PracticeWVTBD

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
99285Emergency department visit with high level of medical decision making205188$0
99284Emergency department visit with moderate level of medical decision making180165$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only121112$0
99213Established patient office or other outpatient visit, 20-29 minutes4933$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 62906)

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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: 9638246846View full group profile
NameSpecialtyState
Internal Medicine, NephrologyLA
Internal Medicine, Geriatric Medicine, Hospice/Palliative CareLA
Family PracticeLA
Emergency Medicine, Internal Medicine, Emergency MedicineNJ
Internal MedicineGA
Hospitalist, Family PracticeOH
Family PracticeLA
Internal Medicine, Emergency MedicineLA
Internal MedicineLA
Emergency MedicineLA

Reviews

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Frequently asked questions

How do I look up DR. WESLEY UPDIKE (M.D.) by NPI?
Use NPI 1053623884 when you need to reference DR. WESLEY UPDIKE (M.D.) in forms, claims, or directories.
Is DR. WESLEY UPDIKE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. WESLEY UPDIKE (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. WESLEY UPDIKE (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. WESLEY UPDIKE (M.D.)?
The snapshot lists Anna, Illinois for DR. WESLEY UPDIKE (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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