DR. CHAD TERRENCE WILSON (MD) – Surgery Physician, NPI 1386628949

DR. CHAD TERRENCE WILSON (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 221129 (MA). The NPI Number for DR. CHAD TERRENCE WILSON (MD) is 1386628949

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHAD TERRENCE WILSON (MD)
NPI
1386628949
Phone
(617) 726-2066
Address
55 FRUIT ST
Enumeration Date
6 December 2005
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7138732000
Graduation Year
2001 (25 years ago)
PAC ID
7719011584
Group Practice PAC ID
8224941265
Professional Enrollment ID
I20160727000469
Address ID
TX770301608HO1504XLOOP300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,028 GENERAL SURGERY in MA

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Provider Addresses for DR. CHAD TERRENCE WILSON (MD)

  • Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    SURG HST

    BOSTON, MA 021142621

    Phone: (617) 726-2066

    Fax: (617) 724-3499

    Type: Location

  • 55 Fruit St

    Surg Hst

    Boston, MA 021142621

    Phone: (617) 726-2066

    Fax: (617) 724-3499

    Type: Location

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    CHARLESTOWN, MA 021299142

    Phone: (617) 724-0287

    Fax: (617) 726-2894

    Type: Mailing

  • 1504 TAUB LOOP

    HOUSTON, TX 770301608

    Phone: (713) 873-8890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: TELA Bio, Inc. ($88).

Total Amount

$88

General + Research + Ownership

Payments

3

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
TELA Bio, Inc.$88
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: 2016-07-27

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
I20160727000469IGeneral SurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02114)

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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: 8224941265View full group profile
NameSpecialtyState
Internal MedicineTX
Gastroenterology, Internal MedicineTX
Internal Medicine, HospitalistIN
Hospitalist, Internal MedicineTX
Diagnostic RadiologyVA
-TX
Family PracticeTX
Internal Medicine, Pediatric MedicineTX
Psychiatry, Geriatric PsychiatryTX
-TX

Reviews

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Frequently asked questions

What is the registry number for DR. CHAD TERRENCE WILSON (MD)?
The registry entry for DR. CHAD TERRENCE WILSON (MD) shows NPI 1386628949.
Should I treat DR. CHAD TERRENCE WILSON (MD) as an active provider?
Patients and plans typically see DR. CHAD TERRENCE WILSON (MD) as active in the national extract.
Which specialty label fits DR. CHAD TERRENCE WILSON (MD)?
NPPES ties DR. CHAD TERRENCE WILSON (MD) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CHAD TERRENCE WILSON (MD)?
The directory associates DR. CHAD TERRENCE WILSON (MD) with Boston, Massachusetts. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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