Individual provider Active NPI

Jeffrey B Wilps, DPM

  • Foot & Ankle Surgery Podiatrist
  • Weirton, WV
National Provider Identifier
1063412401
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
238 Issued in WV
Practice address
362 American Way Ste 1
Weirton, WV 26062-4031
Phone
(740) 264-4200
Fax
(740) 264-9403
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC0031702 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 238 WV Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 36002849W OH

Addresses

Primary practice location

362 American Way Ste 1
Weirton, WV 26062-4031

Mailing address

PO Box 779
Morgantown, WV 26507-0779
Phone (304) 797-6200

Other practice location 1

3747 Main St
Weirton, WV 26062-5309
Phone (304) 797-0190

Other identifiers 3

IdentifierTypeStateIssuer
480030330OtherRAILROAD MEDICARE
0099550000MedicaidWV
0757122MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100318000621 WV Practitioner - Podiatry 4789627159 Reassigns benefits to 2 organizations
I20120103000357 OH Practitioner - Podiatry 4789627159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Foot and Ankle Care PLLCGroup PAC ID 0244535540, 2 clinicians
WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians

Practice addresses (Care Compare)

362 American Way
Suite 1
Weirton, WV 26062-4031
Phone (304) 797-0190

362 American Way
Suite 1
Weirton, WV 26062-4083
Phone (304) 797-0190

601 Colliers Way
Weirton, WV 26062-5014
Phone (304) 797-6000

651 Colliers Way
Weirton, WV 26062-5053
Phone (304) 797-6557

Hospital & facility affiliations

  • Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023
  • Weirton Medical Center Nursing home, Weirton, WV, CCN 515077

Merit-based Incentive Payment System (MIPS)

Final score
14.23 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue178
Removal of skin lesions1-10
Removal of nail tissue586
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002849WOHMDFoot & Ankle Surgery Podiatrist
SC0031702PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC CurrentSince Sep 1, 2025 Accepting new patients
WMC Physician Practices LLC CurrentSince Sep 1, 2025 Accepting new patients
Valley Foot and Ankle Care PLLC Foot & Ankle Surgery CurrentSince Apr 1, 2016 Accepting new patients
Center for Foot and Ankle Care, P.C. Foot & Ankle Surgery Past Accepting new patients
LTAC Investors LLC PastSince Oct 12, 2012 Accepting new patients

Locations

2323 Sunset Blvd
Steubenville, OH 43952
Phone (740) 264-0145

362 American Way
Ste 1
Weirton, WV 26062
Phone (304) 797-0190

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1063412401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070779",
            "telephone_number": "304-797-6200",
            "fax_number": "304-797-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 AMERICAN WAY STE 1",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624031",
            "telephone_number": "740-264-4200",
            "fax_number": "740-264-9403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3747 Main St",
            "address_purpose": "LOCATION",
            "city": "Weirton",
            "state": "WV",
            "postal_code": "260625309",
            "country_code": "US",
            "telephone_number": "304-797-0190",
            "fax_number": "304-797-1187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILPS",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC0031702",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "238",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002849W",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480030330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099550000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0757122",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.