DERRON WILSON (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1780669267
Pain Medicine (Anesthesiology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
183 PAIN MANAGEMENT in IN
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Provider Addresses for DERRON WILSON (MD)
6, 8333, Naab Road, Indianapolis, Indiana, 46260, United States
SUITE 250
INDIANAPOLIS, IN 462605924
Phone: (317) 396-1300
Fax: (317) 876-4070
Type: Mailing
13345 ILLINOIS ST
CARMEL, IN 460323318
Phone: (317) 396-1300
Fax: (317) 870-2728
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 387 Open Payments records for all available years, with a total value of $167,930.
Total Amount is formed as General ($167,930) + Research ($0) + Ownership ($0) = $167,930.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Abbott Laboratories ($159,306).
Total Amount
$167,930
General + Research + Ownership
Payments
387
Total payment records
General Amount
$167,930
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $159,306 |
| Saluda Medical Americas, Inc. | $6,549 |
| Boston Scientific Corporation | $1,384 |
| BIOTRONIK NRO, Inc. | $227 |
| Nevro Corp. | $174 |
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: 2004-12-21
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 |
|---|---|---|---|---|
| I20041221000076 | I | Anesthesiology | IN | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,934 | 367 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,928 | 294 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,333 | 534 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 420 | 323 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 241 | 185 | $0 |
Insurance plans in this area (ZIP 46260)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | IN | 20610 | Aspiration and/or injection of large joint or joint capsule | 19 | 14 |
| ANESTHESIOLOGY | IN | 62311 | Injections of substances into lower or sacral spine | 58 | 52 |
| ANESTHESIOLOGY | IN | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 34 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | IL | |
| - | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Hand Surgery | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| Orthopedic Surgery, Sports Medicine | IN | |
| D E R M A T O L O G Y | OH | |
| - | IN |
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