CARMEN JOSEFA WILSON (MD) – Ophthalmology Physician, NPI 1871593764
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
570 OPHTHALMOLOGY in GA
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Provider Addresses for CARMEN JOSEFA WILSON (MD)
Piedmont Avenue Northeast, Atlanta, Georgia, 30308, United States
SUITE 700
ATLANTA, GA 303032544
Phone: (404) 756-1421
Fax: (404) 756-1494
Type: Location
820 W SUGARLAND HWY
CLEWISTON, FL 33440
Phone: (941) 792-2020
Type: Location
1320 N 15th St
Immokalee, FL 34142
Phone: (941) 792-2020
Type: Location
4101 Evans Ave
Fort Myers, FL 339019310
Phone: (941) 792-2020
Fax: (239) 936-8776
Type: Location
PO BOX 162264
ALTAMONTE SPRINGS, FL 327162264
Phone: (941) 792-2020
Type: Mailing
6002 POINTE WEST BLVD
BRADENTON, FL 342095531
Phone: (941) 792-2020
Fax: (941) 792-2832
Type: Mailing
4101 EVANS AVE
FORT MYERS, FL 339019310
Phone: (941) 792-2020
Fax: (239) 936-8776
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,106.
Total Amount is formed as General ($1,106) + Research ($0) + Ownership ($0) = $1,106.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Alcon Vision LLC ($260).
Total Amount
$1,106
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $260 |
| Horizon Therapeutics plc | $216 |
| Astellas Pharma US Inc | $135 |
| ABBVIE INC. | $125 |
| TearLab Corp | $121 |
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: 2019-05-17
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 |
|---|---|---|---|---|
| I20190517001550 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 56 | $0 |
| 92250 | Photography of the retina | 54 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 32 | $0 |
| 92133 | Imaging of optic nerve | 42 | 33 | $0 |
| 92083 | Exam of visual field with extended testing | 37 | 29 | $0 |
Insurance plans in this area (ZIP 30303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| - | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| - | FL |
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