PROF. KEITH M WILSON (M.D.) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1528009768
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
535 OTOLARYNGOLOGY in OH
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Provider Addresses for PROF. KEITH M WILSON (M.D.)
PO BOX 636256 CENTRAL CREDENTIALING
CINCINNATI, OH 452636256
Phone: (513) 585-5507
Fax: (513) 585-5511
Type: Mailing
222, Piedmont Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45219, United States
CINCINNATI, OH 452194231
Phone: (513) 475-8400
Fax: (513) 475-8228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-12-05 • Largest payer in this snapshot: GENZYME CORPORATION ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $20 |
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: 2010-05-26
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 |
|---|---|---|---|---|
| I20100526000140 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 36 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 37 | 29 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 45263)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Radiation Oncology | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| P O D I A T R Y | OH | |
| Physician Assistant | OH | |
| H O S P I T A L I S T | MD | |
| Nurse Practitioner | CO | |
| H O S P I T A L I S T | IL | |
| Physical Therapist In Private Practice | OH | |
| Physical Therapist In Private Practice | OH |
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