JEFFREY ALLEN WILT (MD) – Family Medicine Physician, NPI 1720151004

JEFFREY ALLEN WILT (MD) is a healthcare provider. based in Ely, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 50360 (MN). The NPI Number for JEFFREY ALLEN WILT (MD) is 1720151004

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY ALLEN WILT (MD)
NPI
1720151004
Phone
(218) 365-7900
Address
300 W CONAN ST
Enumeration Date
16 November 2006
Last Update Date
5 May 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2183657900
Graduation Year
2000 (26 years ago)
PAC ID
7113815846
Group Practice PAC ID
7810149002
Professional Enrollment ID
I20071217000368
Address ID
MN557311145EL300XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for JEFFREY ALLEN WILT (MD)

  • 300, West Conan Street, Ely, Saint Louis County, Minnesota, 55731, United States

    ELY, MN 557311145

    Phone: (218) 365-7900

    Mailing address matches the actual address.

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: 2007-12-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071217000368IFamily PracticeMNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2415$0
99238Hospital discharge day management, 30 minutes or less1716$0
View full utilization report →

Insurance plans in this area (ZIP 55731)

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Provider's Procedures

JEFFREY ALLEN WILT (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN83036Hemoglobin A1C level5226
FAMILY MEDICINEMN85610Blood test, clotting time11332
FAMILY MEDICINEMN90670Pneumococcal vaccine for injection into muscle1313

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: 7810149002View full group profile
NameSpecialtyState
-MN
Family PracticeMN
Family Practice, Emergency MedicineMN
-MN
General SurgeryMN
Family PracticeMN
Family PracticeMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Can I cross-check JEFFREY ALLEN WILT (MD) using NPI 1720151004?
NPI 1720151004 belongs to JEFFREY ALLEN WILT (MD); compare other details if you need extra assurance.
Is JEFFREY ALLEN WILT (MD) still an active registrant?
JEFFREY ALLEN WILT (MD) carries an active NPI according to the public dataset.
What area of care is associated with JEFFREY ALLEN WILT (MD)?
JEFFREY ALLEN WILT (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEFFREY ALLEN WILT (MD)?
Travel planning: use Ely, Minnesota as the reference point for JEFFREY ALLEN WILT (MD), then confirm.
When was this NPI issued?
Enumeration for JEFFREY ALLEN WILT (MD) is noted as November 16, 2006 where the registry provides it.

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