MICHAEL J. WILSON (M.D.) – Family Medicine Physician, NPI 1205937281

MICHAEL J. WILSON (M.D.) is a healthcare provider. based in Springfield, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036-064014 (IL). The NPI Number for MICHAEL J. WILSON (M.D.) is 1205937281

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J. WILSON (M.D.)
NPI
1205937281
Phone
(217) 528-7541
Address
1025 S 6TH ST
Enumeration Date
25 September 2006
Last Update Date
17 October 2008

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7028263200
Graduation Year
1980 (46 years ago)
PAC ID
3476573908
Group Practice PAC ID
7012137037
Professional Enrollment ID
I20200128001061
Address ID
NV890323018NO2202XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for MICHAEL J. WILSON (M.D.)

  • 1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States

    SPRINGFIELD, IL 627032403

    Phone: (217) 528-7541

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-03-04 • Largest payer in this snapshot: Boston Scientific Corporation ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060117000402IFamily PracticeILTBD
I20200128001061IFamily PracticeNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10084$0
99203New patient office or other outpatient visit, 30-44 minutes7373$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza3030$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1919$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 62703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012137037View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerNV
Family PracticeTN
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV
Nurse PractitionerNV
Family PracticeNV
Physician AssistantNV

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL J. WILSON (M.D.)'s NPI?
Yes. MICHAEL J. WILSON (M.D.) is listed with NPI 1205937281 in the public NPI dataset.
Is MICHAEL J. WILSON (M.D.) still practicing?
MICHAEL J. WILSON (M.D.) is currently listed as active in the public NPI registry.
What is MICHAEL J. WILSON (M.D.)'s specialty?
The listing groups MICHAEL J. WILSON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does MICHAEL J. WILSON (M.D.) serve?
MICHAEL J. WILSON (M.D.)'s listing highlights Springfield, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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