DR. MARK J WILSON (MD) – Pediatrics Physician, NPI 1821026436
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
690 HOSPITALIST in MN
Provider Addresses for DR. MARK J WILSON (MD)
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (505) 913-3361
Type: Location
6725 DESERT CANYON DR
EL PASO, TX 799127604
Phone: (304) 639-8114
Type: Mailing
455 SAINT MICHAELS DR
SANTA FE, NM 875057601
Phone: (505) 913-3361
Type: Location
Ohio Valley Medical Center, 2000, Eoff Street, Chapline Street Row Historic District, Wheeling, Ohio County, West Virginia, 26003, United States
WHEELING, WV 260033823
Phone: (304) 234-8663
Fax: (304) 234-8960
Type: Mailing
135, East Main Street, St. Clairsville, Belmont County, Ohio, 43950, United States
SAINT CLAIRSVILLE, OH 439501586
Phone: (740) 695-9470
Fax: (740) 695-3674
Type: Location
PO BOX 860912
MINNEAPOLIS, MN 554860912
Phone: (507) 284-2511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Boston Scientific Corporation ($118).
Total Amount
$118
General + Research + Ownership
Payments
7
Total payment records
General Amount
$118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $118 |
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: 2025-06-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240531000317 | I | Hospitalist | AL | TBD |
| I20250603001926 | I | Hospitalist | NM | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55905)
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Reviews
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