DR. RICHARD C WILSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1972587350

DR. RICHARD C WILSON (DPM) is a healthcare provider. based in Melbourne, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 421 (CO). The NPI Number for DR. RICHARD C WILSON (DPM) is 1972587350

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD C WILSON (DPM)
NPI
1972587350
Phone
(321) 723-3500
Address
1515 AIRPORT BLVD
Enumeration Date
30 November 2005
Last Update Date
12 May 2023

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3217233500
Graduation Year
1980 (46 years ago)
PAC ID
9537246418
Group Practice PAC ID
2769567882
Professional Enrollment ID
I20101012001361
Address ID
FL329012946ME1515XBLVD700
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. RICHARD C WILSON (DPM)

  • 1515 AIRPORT BLVD

    MELBOURNE, FL 329012946

    Phone: (321) 723-3500

    Fax: (321) 723-1945

    Type: Mailing

  • 1310 W Eau Gallie Blvd Ste E

    Melbourne, FL 329355300

    Phone: (321) 255-3338

    Fax: (321) 253-9643

    Type: Location

  • 1515 DR MARTIN LUTHER KING JR BLVD

    MELBOURNE, FL 329012946

    Phone: (321) 723-3500

    Fax: (321) 723-1945

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $264.

Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($110).

Total Amount

$264

General + Research + Ownership

Payments

5

Total payment records

General Amount

$264

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2010-10-12

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
I20101012001361IPodiatryFLTBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg671110$0
99213Established patient office or other outpatient visit, 20-29 minutes388219$0
G0127Trimming of dystrophic nails, any number30285$0
11057Removal of noncancer thickened skin growth, more than 4 growths23568$0
20550Injection into tendon or ligament201109$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Provider's Procedures

DR. RICHARD C WILSON (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL73630X-ray of foot, minimum of 3 views6550
PODIATRYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3017

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: 2769567882View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

How do I look up DR. RICHARD C WILSON (DPM) by NPI?
Use NPI 1972587350 when you need to reference DR. RICHARD C WILSON (DPM) in forms, claims, or directories.
Does this profile mean DR. RICHARD C WILSON (DPM) is currently active?
Yes — DR. RICHARD C WILSON (DPM) appears active in the national provider directory.
What does DR. RICHARD C WILSON (DPM) treat or focus on?
Patients typically see DR. RICHARD C WILSON (DPM) under the specialty Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. RICHARD C WILSON (DPM)?
We surface Melbourne, Florida for DR. RICHARD C WILSON (DPM) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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