DR. CAROLYN A WILD (MD) – Hematology & Oncology Physician, NPI 1871581041

DR. CAROLYN A WILD (MD) is a healthcare provider. based in Tacoma, Washington. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD60112482 (WA). The NPI Number for DR. CAROLYN A WILD (MD) is 1871581041

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAROLYN A WILD (MD)
NPI
1871581041
Phone
(253) 428-8700
Address
1624 SOUTH I STREET
Enumeration Date
11 October 2005
Last Update Date
23 February 2021

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
3608955000
Graduation Year
1997 (29 years ago)
PAC ID
2466576855
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20100908000567
Address ID
WA983663711PO1400XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

403 HEMATOLOGY/ONCOLOGY in WA

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Provider Addresses for DR. CAROLYN A WILD (MD)

  • 1624, South I Street, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States

    SUITE 305

    TACOMA, WA 984055093

    Phone: (253) 428-8700

    Fax: (253) 383-3376

    Type: Mailing

  • 4545 POINT FOSDICK DR # 215

    GIG HARBOR, WA 983351700

    Phone: (253) 530-8060

    Fax: (253) 530-8062

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $253.

Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: BeiGene USA, Inc. ($157).

Total Amount

$253

General + Research + Ownership

Payments

8

Total payment records

General Amount

$253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2010-09-08

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
I20100908000567IHematology/OncologyWATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes393120$0
99214Established patient office or other outpatient visit, 30-39 minutes356233$0
99213Established patient office or other outpatient visit, 20-29 minutes6257$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or3718$0
99205New patient office or other outpatient visit, 60-74 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 98405)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

Does DR. CAROLYN A WILD (MD) have a public NPI I can cite?
Public records show DR. CAROLYN A WILD (MD) under NPI 1871581041.
Quick check: is DR. CAROLYN A WILD (MD) active?
Public NPPES data shows DR. CAROLYN A WILD (MD) with an active NPI status right now.
Which specialty label fits DR. CAROLYN A WILD (MD)?
NPPES ties DR. CAROLYN A WILD (MD) to Hematology & Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. CAROLYN A WILD (MD)?
DR. CAROLYN A WILD (MD) shows a connection to Tacoma, Washington in registry-derived data.
Can I export DR. CAROLYN A WILD (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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