DR. JEFFREY P WILSON (MD) – Interventional Cardiology Physician, NPI 1003287079
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO
Provider Addresses for DR. JEFFREY P WILSON (MD)
1011 BOWLES AVE STE 300
FENTON, MO 630262387
Phone: (636) 496-5065
Type: Location
2300 N Edward St
Decatur, IL 625264192
Phone: (217) 876-8121
Type: Location
619 E Mason St
Springfield, IL 627011034
Phone: (217) 788-0706
Type: Location
201 Anamaria Dr
Rapid City, SD 577017305
Phone: (605) 503-8192
Type: Location
1020 N 12TH ST
STE 206
MILWAUKEE, WI 532331308
Phone: (414) 219-7136
Type: Mailing
345 W STEAMBOAT DR STE 601
NORTH SIOUX CITY, SD 570495287
Phone:
Fax: (605) 217-5533
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $13,898.
Total Amount is formed as General ($13,898) + Research ($0) + Ownership ($0) = $13,898.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Acist Medical Systems, Inc. ($10,922).
Total Amount
$13,898
General + Research + Ownership
Payments
39
Total payment records
General Amount
$13,898
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acist Medical Systems, Inc. | $10,922 |
| Abbott Laboratories | $2,035 |
| ABIOMED | $223 |
| Boston Scientific Corporation | $218 |
| Medtronic, Inc. | $186 |
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: 2025-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20210505002990 | I | Interventional Cardiology | SD | TBD |
| I20231018000565 | I | Interventional Cardiology | IL | TBD |
| I20250505000472 | I | Cardiovascular Disease (Cardiology) | MO | TBD |
| I20251002002658 | I | Interventional Cardiology | WY | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 175 | 167 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 125 | 114 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 124 | 124 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 67 | 59 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 50 | 50 | $0 |
Insurance plans in this area (ZIP 63026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | NE | |
| Vascular Surgery, General Surgery | NE | |
| Physician Assistant | SD | |
| Vascular Surgery | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Vascular Surgery | KS | |
| Nurse Practitioner | SD | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE |
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