ALTON JEROME WILKS (D.P.M.) – Podiatrist, NPI 1083939821

ALTON JEROME WILKS (D.P.M.) is a healthcare provider. based in Desoto, Texas. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 2164 (TX). The NPI Number for ALTON JEROME WILKS (D.P.M.) is 1083939821

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
ALTON JEROME WILKS (D.P.M.)
NPI
1083939821
Phone
(214) 457-5528
Address
212 W WINTERGREEN RD APT 2028
Enumeration Date
5 April 2010
Last Update Date
30 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2142664200
Graduation Year
2008 (18 years ago)
PAC ID
9739356643
Group Practice PAC ID
8325934813
Professional Enrollment ID
I20120118000060
Address ID
TX752165946DA303XXRDXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,098 PODIATRY in TX

Provider Addresses for ALTON JEROME WILKS (D.P.M.)

  • 212 W WINTERGREEN RD APT 2028

    DESOTO, TX 751152360

    Phone: (214) 457-5528

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2023-09-21 • Largest payer in this snapshot: Ortho Dermatologics, a division of Bausch Health US, LLC ($51).

Total Amount

$51

General + Research + Ownership

Payments

1

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-21

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: 2012-01-18

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
I20120118000060IPodiatryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes13697$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 75115)

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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: 8325934813View full group profile
NameSpecialtyState
-TX
-IN
Family PracticeMA
-TX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for ALTON JEROME WILKS (D.P.M.) in U.S. healthcare records?
The official identifier for ALTON JEROME WILKS (D.P.M.) is NPI 1083939821.
Is ALTON JEROME WILKS (D.P.M.) still an active registrant?
ALTON JEROME WILKS (D.P.M.) carries an active NPI according to the public dataset.
What kind of doctor is ALTON JEROME WILKS (D.P.M.)?
ALTON JEROME WILKS (D.P.M.) is associated with Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is ALTON JEROME WILKS (D.P.M.) registered?
Use Desoto, Texas as the headline location for ALTON JEROME WILKS (D.P.M.) here.
When was this NPI issued?
Enumeration for ALTON JEROME WILKS (D.P.M.) is noted as April 5, 2010 where the registry provides it.

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