JOSEPH WADE WILSON (OD) – Optometrist, NPI 1669070041

JOSEPH WADE WILSON (OD) is a healthcare provider. based in Glasgow, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2207DT (KY). The NPI Number for JOSEPH WADE WILSON (OD) is 1669070041

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH WADE WILSON (OD)
NPI
1669070041
Phone
(270) 651-2181
Address
108 Bravo Blvd
Enumeration Date
16 October 2020
Last Update Date
6 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2706512181
Graduation Year
2020 (6 years ago)
PAC ID
6204256738
Group Practice PAC ID
5092784033
Professional Enrollment ID
I20201021002140
Address ID
KY421413412GL108XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for JOSEPH WADE WILSON (OD)

  • 108 Bravo Blvd

    Glasgow, KY 421413412

    Phone: (270) 651-2181

    Type: Location

  • 1403 Andrea St

    Bowling Green, KY 421043335

    Phone: (270) 781-4909

    Type: Location

  • 4279 COUNTY HOUSE RD

    TOMPKINSVILLE, KY 421678401

    Phone: (270) 427-1133

    Type: Mailing

  • 22 EXECUTIVE DR

    TOMPKINSVILLE, KY 421677478

    Phone: (270) 487-5741

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alcon Vision LLC ($132).

Total Amount

$175

General + Research + Ownership

Payments

8

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2020-10-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201021002140IOptometryKYTBD

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
66984Removal of cataract with insertion of prosthetic lens1,67114$0
99213Established patient office or other outpatient visit, 20-29 minutes218214$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional6955$0
92134Imaging of retina1616$0
92133Imaging of optic nerve1313$0
View full utilization report →

Insurance plans in this area (ZIP 42141)

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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: 5092784033View full group profile
NameSpecialtyState
O P T O M E T R YKY
O P H T H A L M O L O G YKY
O P T O M E T R YKY
-KY

Reviews

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Frequently asked questions

What number should I use to identify JOSEPH WADE WILSON (OD) for billing?
Administrative and clinical systems typically use NPI 1669070041 for JOSEPH WADE WILSON (OD).
Does the public listing show JOSEPH WADE WILSON (OD) as active?
JOSEPH WADE WILSON (OD)'s NPI record reflects an active status in NPPES.
What type of care does JOSEPH WADE WILSON (OD) provide?
JOSEPH WADE WILSON (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to JOSEPH WADE WILSON (OD)?
JOSEPH WADE WILSON (OD) shows a connection to Glasgow, Kentucky in registry-derived data.
Can I export JOSEPH WADE WILSON (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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