DAVID M. WILSON (DMD, MD) – Oral and Maxillofacial Surgery (Dentist), NPI 1376705038

DAVID M. WILSON (DMD, MD) is a healthcare provider. based in Portage, Michigan. specializing in MAXILLOFACIAL SURGERY, ORAL SURGERY. They hold the professional credentials DMD, MD. They hold a License No. 4301100207 (MI). The NPI Number for DAVID M. WILSON (DMD, MD) is 1376705038

Main info

Male
12 Years Of Experience
Name
DAVID M. WILSON (DMD, MD)
NPI
1376705038
Phone
Not provided
Address
3801 GLENKERRY CT STE 2
Enumeration Date
25 June 2008
Last Update Date
20 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
0042525271
Group Practice PAC ID
5092994384
Professional Enrollment ID
I20150818004444
Address ID
MI490240718PO3801XCTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

76 MAXILLOFACIAL SURGERY in MI

Loading map...

Provider Addresses for DAVID M. WILSON (DMD, MD)

  • Glenkerry Court, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490240711

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $8,538.

Total Amount is formed as General ($8,538) + Research ($0) + Ownership ($0) = $8,538.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Stryker Corporation ($8,250).

Total Amount

$8,538

General + Research + Ownership

Payments

18

Total payment records

General Amount

$8,538

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

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: 2015-08-18

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
I20150818004444IMaxillofacial SurgeryMITBD

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 49024)

Loading plans...

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: 5092994384View full group profile
NameSpecialtyState
-MI
-MI
Oral Surgery, Maxillofacial SurgeryMI
Oral Surgery, Maxillofacial SurgeryIL
Oral SurgeryMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DAVID M. WILSON (DMD, MD) using NPI 1376705038?
NPI 1376705038 belongs to DAVID M. WILSON (DMD, MD); compare other details if you need extra assurance.
Active or inactive — what applies to DAVID M. WILSON (DMD, MD)?
You should see DAVID M. WILSON (DMD, MD) as active in CMS-hosted NPPES data.
What area of care is associated with DAVID M. WILSON (DMD, MD)?
DAVID M. WILSON (DMD, MD)'s record emphasizes Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Is DAVID M. WILSON (DMD, MD) associated with Portage?
Public fields place DAVID M. WILSON (DMD, MD) around Portage, Michigan. Always confirm the exact site before visiting.
Does DAVID M. WILSON (DMD, MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

DR. KEVIN DONALD MORSE (DDS)

Oral and Maxillofacial Surgery (Dentist)
3801, Glenkerry Court, Portage, Kalamazoo County, Michigan, 49024, United States
NPI: 1164416194

DR. CHRISTIAN L KANAR (DDS)

Oral and Maxillofacial Surgery (Dentist)
3801, Glenkerry Court, Portage, Kalamazoo County, Michigan, 49024, United States
NPI: 1952361594

DR. TIMOTHY V WILLIAMS (DDS)

Oral and Maxillofacial Surgery (Dentist)
3801, Glenkerry Court, Portage, Kalamazoo County, Michigan, 49024, United States
NPI: 1245291368

DR. JOHN R GISSAL (DDS)

Oral and Maxillofacial Surgery (Dentist)
3801, Glenkerry Court, Portage, Kalamazoo County, Michigan, 49024, United States
NPI: 1780645804

DR. THOMAS A SLACK (DDS)

Oral and Maxillofacial Surgery (Dentist)
3801, Glenkerry Court, Portage, Kalamazoo County, Michigan, 49024, United States
NPI: 1669433793

KALAMAZOO ORAL & MAXILLOFACIAL SURGERY, P.C.

Oral and Maxillofacial Surgery (Dentist)
3801, Glenkerry Court, Portage, Kalamazoo County, Michigan, 49024, United States
NPI: 1265522262

DR. ERIC SAFRANSKI (DMD)

Oral & Maxillofacial Surgery (D.M.D.)
3801, Glenkerry Court, Portage, Kalamazoo County, Michigan, 49024, United States
NPI: 1992151682

MICHAEL JEFFREY HARRISON

Oral & Maxillofacial Surgery (D.M.D.)
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
NPI: 1972006914