Brandon Jason Wilt

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC006021 Issued in PA

Practice address

138 Memorial Dr
Everett, PA 15537-7028

Phone

(814) 623-6191

Fax

(814) 623-5519

NPI assigned

Sep 18, 2008

Last updated

Sep 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Brandon Jason Wilt Professional name

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Brandon J Wilt DPM LLCGroup PAC ID 3870716749, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Dr Brandon J Wilt DPM LLC

  dba Brandon J Wilt DPM

  • Podiatrist
  • Everett, PA
  • NPI 1063834125
  Medicare reassignment Care Compare group NPD Authorized official
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Upmc Bedford Memorial

  • General Acute Care Hospital
  • Everett, PA
  • NPI 1295724193
  Care Compare affiliation
• Upmc Bedford Memorial

  • Ambulatory Surgical Clinic/Center
  • Everett, PA
  • NPI 1942345467

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1811146541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MEMORIAL DR",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377028",
            "telephone_number": "814-623-6191",
            "fax_number": "814-623-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MEMORIAL DR",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377028",
            "telephone_number": "814-623-6191",
            "fax_number": "814-623-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILT",
        "first_name": "BRANDON",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "WILT",
            "middle_name": "JASON",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon Weiss
• Wendell Chiropractic and Rehabilitation, LLC
• Julianna Odessa Wert
• Scott Weyant
• Ruth E Whetstone, CRNA
• Siyuan Yang, MD
• Stephen J Yanoshak, D.O.
• Kaitlyn Elizabeth Zembower, OD
• George Michael Zubak, MD

• Podiatrist in Everett, PA
• Providers in Everett, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.