THOMAS EDWARD WILSON (D.C.) – Chiropractor, NPI 1396890547

THOMAS EDWARD WILSON (D.C.) is a healthcare provider. based in Pendleton, Indiana. specializing in Chiropractor. They hold the professional credentials D.C.. They hold a License No. 08001732A (IN). The NPI Number for THOMAS EDWARD WILSON (D.C.) is 1396890547

Main info

Male
58 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS EDWARD WILSON (D.C.)
NPI
1396890547
Phone
(765) 778-5251
Address
777 E. WATER ST.
Enumeration Date
25 January 2007
Last Update Date
9 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2699835527
Graduation Year
1968 (58 years ago)
PAC ID
2860560836
Group Practice PAC ID
2264420579
Professional Enrollment ID
I20100615000285
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for THOMAS EDWARD WILSON (D.C.)

  • 777, East Water Street, Pendleton, Madison County, Indiana, 46064, United States

    1 PLAZA DR. SUITE 6

    PENDLETON, IN 46064

    Phone: (765) 778-5251

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100615000285IChiropracticMITBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions25224$0
View full utilization report →

Insurance plans in this area (ZIP 46064)

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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: 2264420579View full group profile
NameSpecialtyState
C H I R O P R A C T I CMI
C H I R O P R A C T I CMI

Reviews

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Frequently asked questions

What number should I use to identify THOMAS EDWARD WILSON (D.C.) for billing?
Administrative and clinical systems typically use NPI 1396890547 for THOMAS EDWARD WILSON (D.C.).
Is THOMAS EDWARD WILSON (D.C.) currently accepting referrals based on NPI status?
Registry metadata lists THOMAS EDWARD WILSON (D.C.) as active.
What services align with THOMAS EDWARD WILSON (D.C.)'s listing?
THOMAS EDWARD WILSON (D.C.)'s public classification highlights Chiropractor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to THOMAS EDWARD WILSON (D.C.)?
THOMAS EDWARD WILSON (D.C.) is associated with Pendleton, Indiana in the same public data insurers reference.
Who maintains THOMAS EDWARD WILSON (D.C.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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