DR. JOHN MARSHALL WILSON (MD) – Anesthesiology Physician, NPI 1114227139
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 ANESTHESIOLOGY in KY
Provider Addresses for DR. JOHN MARSHALL WILSON (MD)
100 E LIBERTY ST STE 800
LOUISVILLE, KY 402021428
Phone: (502) 361-6617
Fax: (502) 361-6637
Type: Mailing
1850 BLUEGRASS AVE
LOUISVILLE, KY 40215
Phone: (502) 361-6617
Fax: (502) 361-6637
Type: Location
320 Whittington Pkwy
Suite 301
Louisville, KY 402224928
Phone: (502) 625-5584
Fax: (502) 426-2264
Type: Location
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 $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-01-13 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $20 |
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: 2018-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (988 days ago).
Enrollment records
2
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| I20140902000427 | I | Anesthesiology | KY | 2023-09-30 |
| I20180924003231 | I | Anesthesiology | IN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 40202)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | AZ | |
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| General Surgery | KY | |
| Family Practice | OH | |
| Physician Assistant | KY | |
| General Surgery | KY | |
| Clinical Social Worker | KY | |
| Internal Medicine | KY | |
| Family Practice | KY |
Reviews
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