DR. KEITH A WILSON (M.D.) – Ophthalmology Physician, NPI 1164424743
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
840 OPHTHALMOLOGY in OH
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Provider Addresses for DR. KEITH A WILSON (M.D.)
10, Dutton Drive, Oak Hill, Youngstown, Mahoning County, Ohio, 44502, United States
YOUNGSTOWN, OH 445021818
Phone: (330) 746-7691
Fax: (330) 743-8368
Type: Mailing
15655 State Route 170 Ste O
East Liverpool, OH 439209672
Phone: (330) 746-7691
Type: Location
1031 W Western Reserve Rd
Poland, OH 445143541
Phone: (330) 746-7691
Type: Location
10 Dutton Dr
Youngstown, OH 445021818
Phone: (330) 746-7691
Fax: (330) 743-8368
Type: Location
1075 W WESTERN RESERVE RD
POLAND, OH 445143541
Phone: (330) 884-6584
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $570.
Total Amount is formed as General ($570) + Research ($0) + Ownership ($0) = $570.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($281).
Total Amount
$570
General + Research + Ownership
Payments
27
Total payment records
General Amount
$570
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $281 |
| Oyster Point Pharma, Inc. | $110 |
| Ocular Therapeutix, Inc. | $50 |
| ABBVIE INC. | $40 |
| Johnson & Johnson Surgical Vision, Inc. | $19 |
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: 2009-12-07
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 |
|---|---|---|---|---|
| I20091207000343 | I | Ophthalmology | OH | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,106 | 217 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 614 | 279 | $0 |
| 92014 | Established patient complete exam of visual system | 597 | 597 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 346 | 309 | $0 |
| 92133 | Imaging of optic nerve | 222 | 212 | $0 |
Insurance plans in this area (ZIP 44502)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | OH | |
| O P H T H A L M O L O G Y | OH |
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