DR. AMY WILSON (D.O.) – Internal Medicine Physician, NPI 1154776409

DR. AMY WILSON (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in HOSPITALIST, INTERNAL MEDICINE, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. E-12276 (AR). The NPI Number for DR. AMY WILSON (D.O.) is 1154776409

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY WILSON (D.O.)
NPI
1154776409
Phone
Not provided
Address
4502 E 41ST ST
Enumeration Date
24 April 2016
Last Update Date
19 December 2023

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9186353402
Graduation Year
2016 (10 years ago)
PAC ID
5890029953
Group Practice PAC ID
7719916956
Professional Enrollment ID
I20231204002618
Address ID
OK749534433PO105XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

221 HOSPITALIST in AR

Provider Addresses for DR. AMY WILSON (D.O.)

  • 4502 E 41ST ST

    TULSA, OK 741352536

    Phone:

    Type: Mailing

  • 104 WALL ST

    POTEAU, OK 749534405

    Phone: (918) 647-8635

    Fax: (918) 635-3191

    Type: Mailing

  • 7301 ROGERS AVE

    FORT SMITH, AR 729034100

    Phone: (479) 314-5175

    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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-03-08 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$22
View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190624000417IHospitalistARTBD
I20231204002618IInternal MedicineOKTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes215130$0
99239Hospital discharge day management, more than 30 minutes145142$0
99238Hospital discharge day management, 30 minutes or less6261$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6146$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5352$0
View full utilization report →

Insurance plans in this area (ZIP 74135)

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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: 7719916956View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. AMY WILSON (D.O.) across health systems?
The NPI 1154776409 uniquely identifies DR. AMY WILSON (D.O.) in U.S. healthcare data.
Should I treat DR. AMY WILSON (D.O.) as an active provider?
Patients and plans typically see DR. AMY WILSON (D.O.) as active in the national extract.
What type of care does DR. AMY WILSON (D.O.) provide?
DR. AMY WILSON (D.O.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. AMY WILSON (D.O.)?
The directory associates DR. AMY WILSON (D.O.) with Tulsa, Oklahoma. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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