KATHLEEN JOANNE WILD (MD) – Anesthesiology Physician, NPI 1184897670

KATHLEEN JOANNE WILD (MD) is a healthcare provider. based in Abingdon, Virginia. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD.29730 (AL). The NPI Number for KATHLEEN JOANNE WILD (MD) is 1184897670

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN JOANNE WILD (MD)
NPI
1184897670
Phone
(276) 628-9794
Address
16000 JOHNSTON MEMORIAL DR
Enumeration Date
7 April 2008
Last Update Date
7 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9104573800
Graduation Year
2012 (14 years ago)
PAC ID
2163670662
Group Practice PAC ID
7719959873
Professional Enrollment ID
I20250918000532
Address ID
NC284613038SO924XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,338 ANESTHESIOLOGY in VA

Provider Addresses for KATHLEEN JOANNE WILD (MD)

  • 16000 JOHNSTON MEMORIAL DR

    ABINGDON, VA 242117659

    Phone: (276) 628-9794

    Fax: (276) 628-1260

    Type: Location

  • PO BOX 1476

    ABINGDON, VA 242121476

    Phone: (276) 628-9794

    Fax: (276) 628-1260

    Type: Mailing

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: 2025-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (988 days ago).

Enrollment records

2

Earliest due date

2023-09-30

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
I20120906000736IAnesthesiologyVA2023-09-30
I20250918000532IAnesthesiologyNCTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
00142Anesthesia for lens surgery9389$0
00811Anesthesia for other procedure on large bowel using an endoscope3030$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1818$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
01402Anesthesia for procedure for total knee joint replacement1211$0
View full utilization report →

Insurance plans in this area (ZIP 24211)

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Provider's Procedures

KATHLEEN JOANNE WILD (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYVA00142Anesthesia for lens surgery6156

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: 7719959873View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain ManagementNC
A N E S T H E S I O L O G YFL
Interventional Pain Management, AnesthesiologyNC
A N E S T H E S I O L O G YPA
-NC
A N E S T H E S I O L O G YNC
-NC
A N E S T H E S I O L O G YNC
A N E S T H E S I O L O G YGA
Anesthesiology, Interventional Pain ManagementNC

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Frequently asked questions

What NPI should I save for KATHLEEN JOANNE WILD (MD)?
Save NPI 1184897670 if you need a stable reference for KATHLEEN JOANNE WILD (MD).
Is KATHLEEN JOANNE WILD (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KATHLEEN JOANNE WILD (MD)?
The page reflects Anesthesiology Physician for KATHLEEN JOANNE WILD (MD). Clinical services aligned with this taxonomy classification.
Where is KATHLEEN JOANNE WILD (MD)'s primary listing?
We display Abingdon, Virginia because that is what the record indicates for KATHLEEN JOANNE WILD (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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