JON DANIEL WILSON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1407816218
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
181 PATHOLOGY in AR
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Provider Addresses for JON DANIEL WILSON (MD)
Executive Center Drive, Little Rock, Pulaski County, Arkansas, 772211, United States
LITTLE ROCK, AR 722114386
Phone: (501) 604-2695
Fax: (501) 604-2699
Mailing address matches the actual address.
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 $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-11-20 • Largest payer in this snapshot: Genentech USA, Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $15 |
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: 2015-12-15
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 |
|---|---|---|---|---|
| I20151215002197 | I | Pathology | AR | 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 |
|---|---|---|---|---|
| 88319 | Evaluation of specimen enzymes | 601 | 83 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 375 | 88 | $0 |
| 88314 | Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report | 220 | 97 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 113 | 101 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 108 | 101 | $0 |
Insurance plans in this area (ZIP 72211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | AR | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | MN | |
| P A T H O L O G Y | AR | |
| P A T H O L O G Y | AR | |
| P A T H O L O G Y | UT | |
| - | AR | |
| P A T H O L O G Y | VA | |
| P A T H O L O G Y | AR |
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