DR. M ELIZABETH RUIZ WILFONG (D.O.) – Obstetrics & Gynecology Physician, NPI 1164661989

DR. M ELIZABETH RUIZ WILFONG (D.O.) is a healthcare provider. based in Boerne, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. N3386 (TX). The NPI Number for DR. M ELIZABETH RUIZ WILFONG (D.O.) is 1164661989

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. M ELIZABETH RUIZ WILFONG (D.O.)
NPI
1164661989
Phone
(830) 258-6237
Address
PO BOX 2421
Enumeration Date
18 February 2009
Last Update Date
27 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8302586237
Graduation Year
2005 (21 years ago)
PAC ID
3072667302
Group Practice PAC ID
1355467887
Professional Enrollment ID
I20090820000297
Address ID
TX780286024KE575XXDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. M ELIZABETH RUIZ WILFONG (D.O.)

  • Boerne Post Office, East San Antonio Avenue, Boerne, Kendall County, Texas, 78006, United States

    BOERNE, TX 780061400

    Phone: (830) 258-6237

    Fax: (830) 315-1366

    Type: Mailing

  • 575, Hill Country Drive, Kerrville, Kerr County, Texas, 78028, United States

    KERRVILLE, TX 780286085

    Phone: (830) 258-6237

    Fax: (830) 315-1366

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($71).

Total Amount

$124

General + Research + Ownership

Payments

6

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

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: 2009-08-20

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
I20090820000297IObstetrics/GynecologyTXTBD

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 minutes1814$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1313$0
View full utilization report →

Insurance plans in this area (ZIP 78006)

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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: 1355467887View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Nurse Midwife (Cnm)TX
Internal Medicine, Geriatric MedicineKS
Internal Medicine, GastroenterologyTX
Physician AssistantTX
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

What is DR. M ELIZABETH RUIZ WILFONG (D.O.)'s NPI number?
DR. M ELIZABETH RUIZ WILFONG (D.O.)'s NPI is 1164661989 — the number used across U.S. healthcare to identify this provider.
Would DR. M ELIZABETH RUIZ WILFONG (D.O.) appear as active to a payer?
You can treat DR. M ELIZABETH RUIZ WILFONG (D.O.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. M ELIZABETH RUIZ WILFONG (D.O.)'s focus?
For DR. M ELIZABETH RUIZ WILFONG (D.O.), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. M ELIZABETH RUIZ WILFONG (D.O.)?
Directory geography for DR. M ELIZABETH RUIZ WILFONG (D.O.) centers on Boerne, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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