DR. MARK D WILSON (M.D.) – Otolaryngology Physician, NPI 1376535708

DR. MARK D WILSON (M.D.) is a healthcare provider. based in Rancho mirage, California. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301063104 (MI). The NPI Number for DR. MARK D WILSON (M.D.) is 1376535708

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK D WILSON (M.D.)
NPI
1376535708
Phone
(760) 340-4566
Address
39000 BOB HOPE DR
Enumeration Date
22 August 2005
Last Update Date
26 June 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
7603404566
Graduation Year
1994 (32 years ago)
PAC ID
1557420429
Group Practice PAC ID
6002909322
Professional Enrollment ID
I20150428002019
Address ID
CA922704515RA71687111X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,359 OTOLARYNGOLOGY in CA

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Provider Addresses for DR. MARK D WILSON (M.D.)

  • Eisenhower Medical Center, 39000, Bob Hope Drive, Rancho Mirage, Riverside County, California, 92270, United States

    WRIGHT BLDG #301

    RANCHO MIRAGE, CA 922703221

    Phone: (760) 340-4566

    Fax: (760) 340-2481

    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 8 Open Payments records for all available years, with a total value of $266.

Total Amount is formed as General ($266) + Research ($0) + Ownership ($0) = $266.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Stryker Corporation ($122).

Total Amount

$266

General + Research + Ownership

Payments

8

Total payment records

General Amount

$266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-04-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150428002019IOtolaryngologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract2,78457$0
95024Test for allergy using allergenic extract injected into skin2,02960$0
99214Established patient office or other outpatient visit, 30-39 minutes768488$0
31231Diagnostic exam of nasal passages using an endoscope616408$0
99213Established patient office or other outpatient visit, 20-29 minutes602464$0
View full utilization report →

Insurance plans in this area (ZIP 92270)

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Provider's Procedures

DR. MARK D WILSON (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYCA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1717
OTOLARYNGOLOGYCA95004Injection of allergenic extracts into skin, accessed through the skin312064

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002909322View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YCA
O T O L A R Y N G O L O G YCA
-CA
Qualified AudiologistCA
Qualified AudiologistCA
Qualified AudiologistCA
Nurse PractitionerCA

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Frequently asked questions

Does DR. MARK D WILSON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MARK D WILSON (M.D.) uses 1376535708.
Does CMS list DR. MARK D WILSON (M.D.) as active?
Yes — DR. MARK D WILSON (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. MARK D WILSON (M.D.)?
For research purposes, treat DR. MARK D WILSON (M.D.) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARK D WILSON (M.D.) on a map?
Expect Rancho Mirage, California as a primary anchor for DR. MARK D WILSON (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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