DR. STEPHEN WILSON (MD) – Physical Medicine & Rehabilitation Physician, NPI 1659376267

DR. STEPHEN WILSON (MD) is a healthcare provider. based in St clair shores, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. SW061846 (MI). The NPI Number for DR. STEPHEN WILSON (MD) is 1659376267

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN WILSON (MD)
NPI
1659376267
Phone
(586) 563-3300
Address
24345 HARPER AVE
Enumeration Date
20 June 2005
Deactivation Date
4 April 2006
Reactivation Date
5 April 2006
Last Update Date
23 July 2008

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5865633300
Graduation Year
1993 (33 years ago)
PAC ID
1456354646
Group Practice PAC ID
1759394349
Professional Enrollment ID
I20060808000239
Address ID
MI480801285SA24345AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

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Provider Addresses for DR. STEPHEN WILSON (MD)

  • Harper Avenue, Saint Clair Shores, Macomb County, Michigan, 48036, United States

    ST CLAIR SHORES, MI 48080

    Phone: (586) 563-3300

    Fax: (586) 563-3313

    Type: Location

  • PO BOX 806325

    ST CLAIR SHORES, MI 48080

    Phone: (586) 563-3300

    Fax: (586) 563-3313

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($108).

Total Amount

$108

General + Research + Ownership

Payments

6

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$108
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: 2006-08-08

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
I20060808000239IPhysical Medicine And RehabilitationMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes882129$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg46285$0
20550Injection into tendon or ligament21453$0
76942Ultrasonic guidance for needle placement17673$0
99214Established patient office or other outpatient visit, 30-39 minutes10967$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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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: 1759394349View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is the registry number for DR. STEPHEN WILSON (MD)?
The registry entry for DR. STEPHEN WILSON (MD) shows NPI 1659376267.
Is DR. STEPHEN WILSON (MD)'s NPI status active today?
Active status means DR. STEPHEN WILSON (MD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. STEPHEN WILSON (MD)'s specialty?
The extract shows Physical Medicine & Rehabilitation Physician for DR. STEPHEN WILSON (MD). Clinical services aligned with this taxonomy classification.
Is DR. STEPHEN WILSON (MD) tied to St Clair Shores, Michigan?
If you are local to St Clair Shores, Michigan, DR. STEPHEN WILSON (MD) may be relevant to your search.
Can I export DR. STEPHEN WILSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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