DR. HEATHER LYNN WILSON (MD) – Obstetrics Physician, NPI 1013971431
Obstetrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
630 OBSTETRICS/GYNECOLOGY in KY
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Provider Addresses for DR. HEATHER LYNN WILSON (MD)
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606776351
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
Dutchmans Lane, Louisville, Jefferson County, Kentucky, 40207, United States
LOUISVILLE, KY 402074730
Phone: (502) 894-9494
Fax: (502) 894-9404
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 $401.
Total Amount is formed as General ($401) + Research ($0) + Ownership ($0) = $401.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($219).
Total Amount
$401
General + Research + Ownership
Payments
5
Total payment records
General Amount
$401
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $219 |
| Hologic Sales and Service, LLC | $136 |
| CooperSurgical, Inc. | $23 |
| Abbott Laboratories | $23 |
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: 2004-05-24
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 |
|---|---|---|---|---|
| I20040524001041 | I | Obstetrics/Gynecology | KY | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 36 | 36 | $0 |
| 77063 | Screening 3d breast mammography | 35 | 35 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 33 | 33 | $0 |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 26 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Nurse Practitioner | KY | |
| - | IL | |
| Internal Medicine | KY | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
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