Matthew Wilhelm, PA-C
NPI 1093263105 · Physician Assistant · Albuquerque, NM
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Wilhelm, PA-C is a Physician Assistant provider in Albuquerque, NM (NPI 1093263105).
Provider details
- NPI number
- 1093263105
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA2018-0077 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
263 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 77 | $79 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 61 | $112 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 26 | $41 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 24 | $102 |
| X-Ray of Chest, 2 Views71046 | 18 | $24 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Hyclate | 22 | 21 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 17 | 17 |
| Cephalexin | 17 | 17 |
| Prednisone | 13 | 13 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 61250 Se Coombs PlBend, OR 97702-3704Phone: (541) 706-5935Fax: (541) 706-5936
Registry dates
- Enumerated
- 2016-09-18
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Frequently asked questions
- What is Matthew Wilhelm's NPI number?
- Matthew Wilhelm's National Provider Identifier (NPI) is 1093263105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Wilhelm's specialty?
- Matthew Wilhelm is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Matthew Wilhelm located?
- Matthew Wilhelm's practice location on file with NPPES is 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719.
- What is Matthew Wilhelm's phone number?
- The practice phone number listed in the NPPES registry for Matthew Wilhelm is (505) 272-2111.
- Does Matthew Wilhelm accept Medicare?
- Matthew Wilhelm is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Wilhelm's NPI active?
- Yes — Matthew Wilhelm's NPI (1093263105) is active in the NPPES registry as of the last update on 2025-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.