THOMAS WILLIAM WILDER (M.D.) – Surgery Physician, NPI 1518924653
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for THOMAS WILLIAM WILDER (M.D.)
3550 S 4th St Ste 115
Leavenworth, KS 660485061
Phone: (913) 334-6800
Fax: (913) 334-0875
Type: Location
7255 Renner Rd
Shawnee, KS 662173043
Phone: (913) 334-6800
Fax: (913) 334-0875
Type: Location
8919 PARALLEL PKWY STE 270
KANSAS CITY, KS 661121655
Phone: (913) 334-6800
Fax: (913) 334-0875
Type: Location
Saint Joseph Medical Center, 1000, Carondelet Drive, Dallas, Kansas City, Jackson County, Missouri, 64114, United States
PROVIDER ENROLLMENT/MED STAFF OFC
KANSAS CITY, MO 64114
Phone: (816) 943-5744
Type: Mailing
Parallel Parkway, Kansas City, Wyandotte County, Kansas, 66101, United States
SUITE 206
KANSAS CITY, KS 661121636
Phone: (913) 334-6802
Fax: (913) 334-0875
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: 2006-12-07
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 |
|---|---|---|---|---|
| I20061207000388 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66048)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | KS | |
| Family Practice | KS | |
| - | KS | |
| - | MO | |
| Physician Assistant | KS | |
| - | KS | |
| - | IL | |
| Nurse Practitioner | MO | |
| Orthopedic Surgery | KS | |
| Pain Management, Anesthesiology | KS |
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