ZECHARIAH WILSON (MD) – Family Medicine Physician, NPI 1104274950
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
972 FAMILY PRACTICE in ID
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Provider Addresses for ZECHARIAH WILSON (MD)
1375, North Happy Valley Road, Nampa Gateway Center, Nampa, Canyon County, Idaho, 83687, United States
NAMPA, ID 836875280
Phone: (208) 809-2869
Fax: (208) 809-2870
Type: Location
Box Social, 3971, North Williams Avenue, Mississippi, Boise, Portland, Metro, Multnomah County, Oregon, 97227, United States
BOISE, ID 837191050
Phone: (208) 955-6500
Fax: (208) 955-6503
Type: Mailing
777 N RAYMOND ST
BOISE, ID 837049251
Phone: (208) 514-2500
Fax: (208) 375-2217
Type: Mailing
315 E ELM ST # 201
CALDWELL, ID 836054857
Phone: (208) 514-2528
Fax: (208) 375-2217
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $452.
Total Amount is formed as General ($452) + Research ($0) + Ownership ($0) = $452.
Last reported payment date: 2023-11-27 • Largest payer in this snapshot: Novo Nordisk Inc ($79).
Total Amount
$452
General + Research + Ownership
Payments
26
Total payment records
General Amount
$452
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $79 |
| PFIZER INC. | $61 |
| AstraZeneca Pharmaceuticals LP | $49 |
| Amgen Inc. | $45 |
| ABBVIE INC. | $43 |
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: 2020-09-18
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20200918002068 | I | Family Practice | ID | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 238 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 151 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 56 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 51 | 35 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 34 | 34 | $0 |
Insurance plans in this area (ZIP 83687)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospitalist | ID | |
| Family Practice | ID | |
| - | ID | |
| - | ID | |
| - | CA | |
| Family Practice | ID | |
| Family Practice | ID | |
| Family Practice | ID | |
| Family Practice | ID | |
| Family Practice | ID |
Reviews
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