IndividualActive

Paul Wetstein, M.D.

NPI 1104189166 · Surgery Physician · Champaign, IL

Provider details

NPI number: 1104189166
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: ME135643 (FL)

Specialties & taxonomies

Surgery PhysicianPrimary208600000XLicense 036166628 (IL)
Allopathic & Osteopathic Physicians
Surgical Critical Care Physician2086S0102XLicense ME135643 (FL)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
13 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
2 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
27 Medicare services, 2024 (ranked within specialty)

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 methodology.

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)
Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231	27	$52

Typical Medicare-allowed amounts for these services range $52–$52 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

3105 Fields South Dr

Champaign, IL 61822-3743

Phone: (217) 383-3240

Street-level locationGet directions

More IL providers

Mailing address