DR. CHARLES HENRY IV WILSON (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1053472712
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
487 ORTHOPEDIC SURGERY in AL
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Provider Addresses for DR. CHARLES HENRY IV WILSON (MD)
Tower Plaza Mobile Home Park, Alliance, Box Butte County, Nebraska, 69301, United States
MOBILE, AL 366896144
Phone: (251) 476-5050
Fax: (251) 450-2770
Type: Mailing
Mobile Orthopedic Group, 6144, Airport Boulevard, Winthrop Square, Mobile, Mobile County, Alabama, 36608, United States
MOBILE, AL 36608
Phone: (251) 476-5050
Fax: (251) 450-2770
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Davol Inc. ($24).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $24 |
| Dynasplint Systems Inc. | $10 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081028000667 | I | Orthopedic Surgery | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 3,625 | 30 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,918 | 234 | $0 |
| 73562 | X-ray of knee, 3 views | 651 | 293 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 500 | 259 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 478 | 286 | $0 |
Insurance plans in this area (ZIP 36689)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Orthopedic Surgery | AL | |
| Orthopedic Surgery | AZ | |
| Physician Assistant | AL | |
| Orthopedic Surgery, Hand Surgery | AL | |
| Orthopedic Surgery | AL | |
| Orthopedic Surgery | AL | |
| Orthopedic Surgery | AL | |
| Orthopedic Surgery | AL | |
| Physician Assistant | AL |
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