DR. KIRK WILSON (DO) – Internal Medicine Physician, NPI 1508823543
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
500 GASTROENTEROLOGY in MN
Provider Addresses for DR. KIRK WILSON (DO)
420 DELAWARE MMC 284
UNIVERSITY OF MINNESOTA DEPT OF MEDICINE
MINNEAPOLIS, MN 55455
Phone: (612) 626-5031
Type: Location
Grove Drive, Riverside Fields, Shakopee, Scott County, Minnesota, 55337:55379, United States
SHAKOPEE, MN 553798516
Phone: (612) 396-6698
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2006-07-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060717000128 | I | Gastroenterology | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 109 | 65 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 50 | 49 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 50 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 26 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 55455)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MN | 45385 | Removal of polyps or growths of large bowel using an endoscope | 30 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| G A S T R O E N T E R O L O G Y | IL | |
| G A S T R O E N T E R O L O G Y | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| Pediatric Medicine, Gastroenterology | MN |
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