DR. DAVID J WILDE (MD) – Ophthalmology Physician, NPI 1184253270

DR. DAVID J WILDE (MD) is a healthcare provider. based in Trinity, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 13908035-1205 (UT). The NPI Number for DR. DAVID J WILDE (MD) is 1184253270

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID J WILDE (MD)
NPI
1184253270
Phone
Not provided
Address
9330 STATE ROAD 54
Enumeration Date
2 April 2020
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8012610726
Graduation Year
2020 (6 years ago)
PAC ID
8527500974
Group Practice PAC ID
9739360181
Professional Enrollment ID
I20240612004567
Address ID
UT841211677MU5872X900X301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for DR. DAVID J WILDE (MD)

  • 9330 STATE ROAD 54

    TRINITY, FL 346551808

    Phone:

    Type: Mailing

  • 5872 S 900 E STE 100

    MURRAY, UT 841211677

    Phone: (801) 261-0726

    Fax: (801) 262-2838

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Regeneron Pharmaceuticals, Inc. ($150).

Total Amount

$192

General + Research + Ownership

Payments

3

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2024-06-12

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
I20240612004567IOphthalmologyUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34655)

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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: 9739360181View full group profile
NameSpecialtyState
O P T O M E T R YUT
O P T O M E T R YUT
O P H T H A L M O L O G YUT

Reviews

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Frequently asked questions

What is the registry number for DR. DAVID J WILDE (MD)?
The registry entry for DR. DAVID J WILDE (MD) shows NPI 1184253270.
Does the public listing show DR. DAVID J WILDE (MD) as active?
DR. DAVID J WILDE (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. DAVID J WILDE (MD)?
NPPES ties DR. DAVID J WILDE (MD) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. DAVID J WILDE (MD)?
The directory associates DR. DAVID J WILDE (MD) with Trinity, Florida. Check all listed addresses for suites or satellite offices.
Who maintains DR. DAVID J WILDE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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