MATTHEW JAMES WILSON – Emergency Medicine Physician, NPI 1184158172

MATTHEW JAMES WILSON is a healthcare provider. based in Louisville, Kentucky. specializing in EMERGENCY MEDICINE. They hold a License No. TP727 (KY). The NPI Number for MATTHEW JAMES WILSON is 1184158172

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW JAMES WILSON
NPI
1184158172
Phone
(502) 852-8696
Address
500 S PRESTON ST
Enumeration Date
17 April 2017
Last Update Date
17 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5028978100
Graduation Year
2019 (7 years ago)
PAC ID
9537494760
Group Practice PAC ID
2860890704
Professional Enrollment ID
I20220804001737
Address ID
KY402074605LO4000XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

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Provider Addresses for MATTHEW JAMES WILSON

  • City Cafe, 500, South Preston Street, Louisville, Jefferson County, Kentucky, 40202, United States

    ROOM 305

    LOUISVILLE, KY 402021702

    Phone: (502) 852-8696

    Type: Mailing

  • 3 AUDUBON PLAZA DR STE 340

    LOUISVILLE, KY 402171319

    Phone: (502) 634-6767

    Type: Mailing

  • 1 AUDUBON PLAZA DR

    LOUISVILLE, KY 402171318

    Phone: (502) 634-6767

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: CSL Behring ($28).

Total Amount

$86

General + Research + Ownership

Payments

4

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2022-08-04

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
I20220804001737IEmergency MedicineKYTBD

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
99285Emergency department visit with high level of medical decision making774755$0
99284Emergency department visit with moderate level of medical decision making211209$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only191190$0
99291Critical care, first 30-74 minutes6363$0
99283Emergency department visit with low level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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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: 2860890704View full group profile
NameSpecialtyState
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What unique ID ties claims to MATTHEW JAMES WILSON?
NPI 1184158172 is assigned to MATTHEW JAMES WILSON under the national enumeration system.
Does this profile mean MATTHEW JAMES WILSON is currently active?
Yes — MATTHEW JAMES WILSON appears active in the national provider directory.
What field does MATTHEW JAMES WILSON work in?
You can think of MATTHEW JAMES WILSON as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MATTHEW JAMES WILSON's primary listing?
We display Louisville, Kentucky because that is what the record indicates for MATTHEW JAMES WILSON.
Is MATTHEW JAMES WILSON a real provider?
This page reflects official NPPES data for NPI 1184158172. Always confirm identity and privileges with the practice and licensing boards.

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