JUSTIN MICHAEL WILEMAN (DO) – Ophthalmology Physician, NPI 1003310509

JUSTIN MICHAEL WILEMAN (DO) is a healthcare provider. based in Fort worth, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials DO. They hold a License No. U3054 (TX). The NPI Number for JUSTIN MICHAEL WILEMAN (DO) is 1003310509

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN MICHAEL WILEMAN (DO)
NPI
1003310509
Phone
(817) 702-1173
Address
1500 S MAIN ST
Enumeration Date
20 March 2018
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
2145222661116
Graduation Year
2018 (8 years ago)
PAC ID
2466784376
Group Practice PAC ID
4486618543
Professional Enrollment ID
I20230727003065
Address ID
TX752041480DA3535XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

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Provider Addresses for JUSTIN MICHAEL WILEMAN (DO)

  • John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761044941

    Phone: (817) 702-1173

    Type: Location

  • 9002 N MERIDIAN ST STE 100

    INDIANAPOLIS, IN 462605354

    Phone: (317) 844-5530

    Type: Mailing

  • 3535 TRAVIS ST STE 170

    DALLAS, TX 752041480

    Phone: (214) 522-2661

    Fax: (214) 522-5469

    Type: Mailing

  • 3535 TRAVIS ST

    DALLAS, TX 752041448

    Phone: (214) 522-2661

    Fax: (214) 522-2661

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $881.

Total Amount is formed as General ($881) + Research ($0) + Ownership ($0) = $881.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($292).

Total Amount

$881

General + Research + Ownership

Payments

31

Total payment records

General Amount

$881

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-27

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
I20230727003065IOphthalmologyTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13185$0
99213Established patient office or other outpatient visit, 20-29 minutes6963$0
92134Imaging of retina3937$0
65756Transplantation of outer layer of corneal tissue3836$0
92136Measurement of corneal curvature and depth of eye3628$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 4486618543View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

Does JUSTIN MICHAEL WILEMAN (DO) have a public NPI I can cite?
Public records show JUSTIN MICHAEL WILEMAN (DO) under NPI 1003310509.
Does the public listing show JUSTIN MICHAEL WILEMAN (DO) as active?
JUSTIN MICHAEL WILEMAN (DO)'s NPI record reflects an active status in NPPES.
Which specialty label fits JUSTIN MICHAEL WILEMAN (DO)?
NPPES ties JUSTIN MICHAEL WILEMAN (DO) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JUSTIN MICHAEL WILEMAN (DO)?
JUSTIN MICHAEL WILEMAN (DO) shows a connection to Fort Worth, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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