DR. SEAN PATRICK WILSON (M.D.) – Family Medicine Physician, NPI 1184615650
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,259 FAMILY PRACTICE in AZ
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Provider Addresses for DR. SEAN PATRICK WILSON (M.D.)
606, North Main Street, Springerville, Apache County, Arizona, 85938, United States
EAGAR, AZ 859259813
Phone: (928) 333-5333
Fax: (928) 333-5100
Type: Location
PO BOX 878
SPRINGERVILLE, AZ 859380878
Phone: (928) 333-5333
Fax: (928) 333-5100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Mylan Specialty L.P. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mylan Specialty L.P. | $26 |
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: 2004-11-24
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 |
|---|---|---|---|---|
| I20041124000683 | I | Family Practice | AZ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 933 | 239 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 831 | 242 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 390 | 56 | $0 |
| 85610 | Blood test, clotting time | 85 | 11 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 77 | 13 | $0 |
Insurance plans in this area (ZIP 85925)
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Provider's Procedures
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