DR. WILLIAM CASSIDY IV WILSON (MD) – Diagnostic Radiology Physician, NPI 1366861841
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
Provider Addresses for DR. WILLIAM CASSIDY IV WILSON (MD)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 631101016
Phone: (314) 362-7200
Fax: (314) 747-4189
Type: Location
660 S EUCLID AVE
CB 8131
SAINT LOUIS, MO 631101010
Phone: (314) 362-7200
Fax: (314) 747-4189
Type: Mailing
2200 E PARRISH AVE BLDG D
OWENSBORO, KY 423031458
Phone: (270) 926-8171
Type: Location
1000 Breckenridge St Ste 101
Owensboro, KY 423030840
Phone: (270) 926-8171
Type: Location
1006 Ford Ave
Owensboro, KY 423014677
Phone: (270) 926-8171
Type: Location
1201 Pleasant Valley Rd
Owensboro, KY 423039811
Phone: (270) 417-2000
Type: Location
510 S Kingshighway Blvd
Saint Louis, MO 631101016
Phone: (314) 362-7200
Fax: (314) 747-4189
Type: Location
2025 W Everly Brothers Blvd
Powderly, KY 423675401
Phone: (270) 377-2600
Type: Location
1200 Barret Blvd
Henderson, KY 424204950
Phone: (270) 844-8600
Type: Location
510 Ruby Dr
Madisonville, KY 424312168
Phone: (270) 399-7900
Type: Location
444 S Main St
Madisonville, KY 424312846
Phone: (270) 821-4444
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-08-07
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 |
|---|---|---|---|---|
| I20190501001928 | I | Diagnostic Radiology | MO | TBD |
| I20200807000869 | I | Diagnostic Radiology | KY | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 326 | 301 | $0 |
| 71046 | X-ray of chest, 2 views | 123 | 121 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 109 | 108 | $0 |
| 70450 | Ct scan head or brain without contrast | 87 | 86 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 79 | 78 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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