BENJAMIN B WILDE (D.O.) – Family Medicine Physician, NPI 1295997013
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
328 FAMILY PRACTICE in WY
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Provider Addresses for BENJAMIN B WILDE (D.O.)
Howell Avenue, Worland, Washakie County, Wyoming, 82401, United States
WORLAND, WY 82401
Phone: (307) 347-2555
Fax: (307) 347-9831
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 $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-01-04 • Largest payer in this snapshot: LightForce Orthodontics, Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LightForce Orthodontics, Inc. | $18 |
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: 2022-10-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221020001939 | I | Family Practice | MT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 85 | $0 |
| 81003 | Automated urinalysis test | 15 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 15 | $0 |
| 69209 | Removal of impacted ear wax by washing | 13 | 13 | $0 |
Insurance plans in this area (ZIP 82401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MT | |
| - | MT | |
| Physician Assistant | MT | |
| Nurse Practitioner | MT | |
| - | MT | |
| Critical Care (Intensivists), Pulmonary Disease | AZ | |
| - | TN | |
| U R O L O G Y | WA | |
| Nurse Practitioner | MT | |
| Pulmonary Disease | TN |
Reviews
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