DR. JENNA LEIGH WILSON (MD) – Orthopaedic Surgery Physician, NPI 1144712928
Orthopaedic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
802 ORTHOPEDIC SURGERY in MO
Provider Addresses for DR. JENNA LEIGH WILSON (MD)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 514-3500
Fax: (314) 878-7678
Type: Mailing
4921 PARKVIEW PL
DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A
SAINT LOUIS, MO 631101032
Phone: (314) 514-3500
Fax: (314) 878-7678
Type: Location
1500 E MEDICAL CENTER DR SPC 5328
ANN ARBOR, MI 481095328
Phone: (734) 232-9432
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $12,496.
Total Amount is formed as General ($12,496) + Research ($0) + Ownership ($0) = $12,496.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Smith+Nephew, Inc. ($10,285).
Total Amount
$12,496
General + Research + Ownership
Payments
44
Total payment records
General Amount
$12,496
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $10,285 |
| Stryker Corporation | $1,335 |
| DePuy Synthes Sales Inc. | $568 |
| Integra LifeSciences Corporation | $168 |
| Ethicon US, LLC | $117 |
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: 2024-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230725002829 | I | Orthopedic Surgery | NC | TBD |
| I20241009001929 | I | Orthopedic Surgery | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60674)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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