MICHAEL WILSON (MD) – Emergency Medicine Physician, NPI 1073567319

MICHAEL WILSON (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 200001030 (NC). The NPI Number for MICHAEL WILSON (MD) is 1073567319

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL WILSON (MD)
NPI
1073567319
Phone
(617) 732-5640
Address
75 FRANCIS ST
Enumeration Date
20 May 2006
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784631000
Graduation Year
1992 (34 years ago)
PAC ID
2961492525
Group Practice PAC ID
4688193071
Professional Enrollment ID
I20080407000215
Address ID
MA019503867NE25XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

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Provider Addresses for MICHAEL WILSON (MD)

  • Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States

    BOSTON, MA 021156110

    Phone: (617) 732-5640

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-02-19 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($89).

Total Amount

$89

General + Research + Ownership

Payments

2

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-19

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: 2024-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080407000215IEmergency MedicineMATBD
I20240809000197IEmergency MedicineMETBD

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 making102100$0
99214Established patient office or other outpatient visit, 30-39 minutes3433$0
99284Emergency department visit with moderate level of medical decision making2929$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
99215Established patient office or other outpatient visit, 40-54 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 02115)

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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: 4688193071View full group profile
NameSpecialtyState
Physician AssistantOH
Emergency MedicineFL
Emergency MedicineMA
Emergency MedicineMA
Physician AssistantNC
Emergency MedicineCO
Emergency MedicineMA
Emergency MedicineMA
Nurse PractitionerNJ
Nurse PractitionerKS

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL WILSON (MD)'s NPI?
Yes. MICHAEL WILSON (MD) is listed with NPI 1073567319 in the public NPI dataset.
Is MICHAEL WILSON (MD) still practicing?
MICHAEL WILSON (MD) is currently listed as active in the public NPI registry.
What is MICHAEL WILSON (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for MICHAEL WILSON (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL WILSON (MD)?
MICHAEL WILSON (MD)'s geographic hint is Boston, Massachusetts in our summary view.
Why does MICHAEL WILSON (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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