KRISTAL LEE ANN WILSON (MD) – Interventional Pain Medicine Physician, NPI 1578853602
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
69 INTERVENTIONAL PAIN MANAGEMENT in KY
Provider Addresses for KRISTAL LEE ANN WILSON (MD)
1101 PROFESSIONAL BLVD STE 100
EVANSVILLE, IN 477148018
Phone: (812) 477-7246
Fax: (812) 477-7240
Type: Mailing
10302 BROOKRIDGE VILLAGE BLVD STE 103-104
LOUISVILLE, KY 402914475
Phone: (502) 276-5300
Fax: (502) 576-5376
Type: Location
6400 DUTCHMANS PKWY STE 60
LOUISVILLE, KY 402053341
Phone: (812) 477-7246
Fax: (812) 477-7240
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,858.
Total Amount is formed as General ($1,858) + Research ($0) + Ownership ($0) = $1,858.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($440).
Total Amount
$1,858
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,858
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $440 |
| SI-BONE, INC. | $224 |
| Collegium Pharmaceutical, Inc. | $223 |
| Boston Scientific Corporation | $209 |
| Saluda Medical Americas, Inc. | $160 |
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: 2016-08-10
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 |
|---|---|---|---|---|
| I20160810002831 | I | Interventional Pain Management | 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 |
|---|---|---|---|---|
| 80305 | Testing for presence of drug, read by direct observation | 97 | 65 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 63 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 26 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 28 | 15 | $0 |
Insurance plans in this area (ZIP 47714)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | KY | 62311 | Injections of substances into lower or sacral spine | 22 | 14 |
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