KATHRYN A.S. WILSON (DO, LLC) – Family Medicine Physician, NPI 1255331682

KATHRYN A.S. WILSON (DO, LLC) is a healthcare provider. based in Springboro, Ohio. specializing in FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials DO, LLC. They hold a License No. 34005372 (OH). The NPI Number for KATHRYN A.S. WILSON (DO, LLC) is 1255331682

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN A.S. WILSON (DO, LLC)
NPI
1255331682
Phone
(937) 748-9051
Address
70 SOUTHFIELD CT
Enumeration Date
28 July 2005
Last Update Date
22 April 2008

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5138652246
Graduation Year
1990 (36 years ago)
PAC ID
8022041276
Group Practice PAC ID
1850570458
Professional Enrollment ID
I20111102000851
Address ID
OH452424402MO10500RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

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Provider Addresses for KATHRYN A.S. WILSON (DO, LLC)

  • 70, Southfield Court, Springboro, Warren County, Ohio, 45066, United States

    SPRINGBORO, OH 450669268

    Phone: (937) 748-9051

    Fax: (937) 748-9054

    Type: Mailing

  • 32, South Richards Run, Springboro, Warren County, Ohio, 45066, United States

    SPRINGBORO, OH 450668003

    Phone: (937) 748-9051

    Fax: (937) 748-9054

    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: 2011-11-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111102000851IFamily PracticeOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes224211$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
81003Automated urinalysis test3330$0
99214Established patient office or other outpatient visit, 30-39 minutes3130$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2828$0
View full utilization report →

Insurance plans in this area (ZIP 45066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850570458View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOH
Radiation OncologyOH
O T O L A R Y N G O L O G YOH
P O D I A T R YOH
Physician AssistantOH
H O S P I T A L I S TMD
Nurse PractitionerCO
H O S P I T A L I S TIL
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

How is KATHRYN A.S. WILSON (DO, LLC) identified in CMS data?
CMS-hosted NPPES data lists KATHRYN A.S. WILSON (DO, LLC) with NPI 1255331682.
Is KATHRYN A.S. WILSON (DO, LLC) still practicing?
KATHRYN A.S. WILSON (DO, LLC) is currently listed as active in the public NPI registry.
What is KATHRYN A.S. WILSON (DO, LLC) best known for clinically?
Directory data describes KATHRYN A.S. WILSON (DO, LLC) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does KATHRYN A.S. WILSON (DO, LLC) serve?
KATHRYN A.S. WILSON (DO, LLC)'s listing highlights Springboro, Ohio; more addresses can appear in NPPES.
Is the information about KATHRYN A.S. WILSON (DO, LLC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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