DR. TIMOTHY ALLEN WILSON (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1619173549
Geriatric Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
107 GERIATRIC MEDICINE in MO
Provider Addresses for DR. TIMOTHY ALLEN WILSON (M.D.)
9027 SW 208th St
Trimble, MO 644927846
Phone: (816) 790-3579
Type: Location
9712, East 66th Terrace, Raytown, Jackson County, Missouri, 64133, United States
RAYTOWN, MO 641335848
Phone: (816) 617-1398
Fax: (816) 832-8236
Type: Mailing
8930 EVANSTON AVE
KANSAS CITY, MO 641384732
Phone: (816) 617-1398
Fax: (816) 832-8236
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $485.
Total Amount is formed as General ($485) + Research ($0) + Ownership ($0) = $485.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($106).
Total Amount
$485
General + Research + Ownership
Payments
23
Total payment records
General Amount
$485
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $106 |
| ITI, Inc. | $97 |
| Alkermes, Inc. | $94 |
| Indivior Inc. | $66 |
| Otsuka America Pharmaceutical, Inc. | $29 |
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: 2013-08-14
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 |
|---|---|---|---|---|
| I20130814000022 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 23 | 11 | $0 |
Insurance plans in this area (ZIP 64492)
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