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Mary K. Wilde, MD

NPI 1508901810ActiveIndividual· Specialist· La Jolla, CA

Specialist (MD) in La Jolla, California, trained at University of California, San Francisco School of Medicine (class of 1984). 225 Medicare patients in 2024, $184,768 paid; nearly all of their 124 Part D prescriptions were generic (99%).

Overview

NPI1508901810
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorYes
NPI issuedFeb 21, 2007
Last updated in NPPESNov 28, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XG65602CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - General Surgery (CA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients225
Services billed1,163 across 24 procedure codes
Paid by Medicare$184,768

Part D prescriptions in 2024

Prescriptions (claims)124 · 124 30-day fills
Patients81
Total drug cost$701.63
Generic share99% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of California, San Francisco School of Medicine
Graduation year1984
Medicare specialtyGeneral Surgery

Medical group

Hospital affiliations

Source: CMS Care Compare

Other Specialist providers in La Jolla

All 67 Specialist providers in La Jolla · All Specialist providers in California