DR. ROGER L. WILSON (O.D.) – Optometrist, NPI 1215032370
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
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Provider Addresses for DR. ROGER L. WILSON (O.D.)
110, Solana Road, Palm Valley, Ponte Vedra Beach, Saint Johns County, Florida, 32082, United States
PONTE VEDRA BEACH, FL 320822230
Phone: (904) 280-2021
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 4 Open Payments records for all available years, with a total value of $336.
Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Alcon Vision LLC ($209).
Total Amount
$336
General + Research + Ownership
Payments
4
Total payment records
General Amount
$336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $209 |
| RxSight Inc | $107 |
| Johnson & Johnson Vision Care, Inc. | $20 |
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: 2005-06-02
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 |
|---|---|---|---|---|
| I20050602000069 | I | Optometry | FL | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 89 | 88 | $0 |
| 92202 | Extended exam of the back part of the eye with optic nerve drawing | 25 | 25 | $0 |
| 92012 | Established patient problem focused exam of visual system | 17 | 13 | $0 |
| 92004 | New patient complete exam of visual system | 16 | 16 | $0 |
Insurance plans in this area (ZIP 32082)
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