MR. JASON P WILTSHIRE (MD) – Surgery Physician, NPI 1366522815
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in KS
Provider Addresses for MR. JASON P WILTSHIRE (MD)
108 W Ross Blvd
Dodge City, KS 678012131
Phone: (620) 371-6336
Fax: (620) 371-5587
Type: Location
514 CLEVELAND ST
MEDICAL PAVILION
GREAT BEND, KS 675303562
Phone: (620) 792-2151
Fax: (620) 860-0305
Type: Location
Pratt Regional Medical Center, 200, Commodore Street, Pratt, Pratt County, Kansas, 67124, United States
PRATT, KS 671242903
Phone: (620) 672-7451
Fax: (620) 672-3488
Type: Mailing
124, Commodore Street, Pratt, Pratt County, Kansas, 67124, United States
SUITE B
PRATT, KS 671242993
Phone: (620) 672-6454
Fax: (620) 672-3488
Type: Location
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 $1,313.
Total Amount is formed as General ($1,313) + Research ($0) + Ownership ($0) = $1,313.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,023).
Total Amount
$1,313
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,313
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,023 |
| Amgen Inc. | $119 |
| Smith+Nephew, Inc. | $115 |
| Ethicon US, LLC | $32 |
| Integra LifeSciences Corporation | $25 |
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: 2009-11-09
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 |
|---|---|---|---|---|
| I20091109000184 | I | General Surgery | KS | 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 |
|---|---|---|---|---|
| Q4133 | Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter | 874 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 275 | 149 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 260 | 186 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 114 | 25 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 95 | 93 | $0 |
Insurance plans in this area (ZIP 67801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | KS | 45378 | Diagnostic examination of large bowel using an endoscope | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| - | KS | |
| Nurse Practitioner | MO | |
| Family Practice | KS | |
| Nurse Practitioner | CO | |
| Family Practice | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK |
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