RUSSELL ANDREW WILSON (MD) – Surgery Physician, NPI 1427057736
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
Provider Addresses for RUSSELL ANDREW WILSON (MD)
2401 Newnan Crossing Blvd E Ste 100
Newnan, GA 302652409
Phone: (770) 400-7850
Type: Location
1265 HIGHWAY 54 W
SUITE 500B
FAYETTEVILLE, GA 302144548
Phone: (770) 719-5660
Fax: (678) 817-4339
Type: Mailing
1265 HIGHWAY 54 W STE 500B
FAYETTEVILLE, GA 302144556
Phone: (770) 719-5660
Fax: (678) 336-5955
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $1,172.
Total Amount is formed as General ($1,172) + Research ($0) + Ownership ($0) = $1,172.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($635).
Total Amount
$1,172
General + Research + Ownership
Payments
27
Total payment records
General Amount
$1,172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $635 |
| Medtronic, Inc. | $131 |
| Becton, Dickinson and Company | $113 |
| Integra LifeSciences Corporation | $53 |
| MIMEDX Group, Inc. | $33 |
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: 2004-11-04
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 |
|---|---|---|---|---|
| I20041104000918 | I | General Surgery | GA | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 95 | 95 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 44 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 49 | 23 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 33 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 30 | $0 |
Insurance plans in this area (ZIP 30265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | MN | |
| Critical Care (Intensivists) | GA | |
| Physician Assistant | GA | |
| Pulmonary Disease, Critical Care (Intensivists) | GA | |
| Physician Assistant | GA | |
| - | UT | |
| G A S T R O E N T E R O L O G Y | GA | |
| - | GA | |
| - | GA |
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