VIVIAN L WILSON (M.D.) – Family Medicine Physician, NPI 1386753945
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for VIVIAN L WILSON (M.D.)
36th Street Barbershop, 3705, North Meridian Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
OKLAHOMA CITY, OK 73140
Phone: (405) 769-3301
Fax: (405) 769-9685
Type: Location
PO BOX 30589
12716 N.E. 36TH STREET
MIDWEST CITY, OK 731403589
Phone: (405) 769-3301
Fax: (405) 769-9685
Type: Mailing
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: 2005-06-14
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 |
|---|---|---|---|---|
| I20050614000233 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 140 | 71 | $0 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 33 | 32 | $0 |
| G0008 | Administration of influenza virus vaccine | 32 | 32 | $0 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 25 | 16 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 22 | 18 | $0 |
Insurance plans in this area (ZIP 73140)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Registered Dietitian Or Nutrition Professional | OK | |
| Family Practice | OK | |
| - | OK | |
| Clinical Social Worker | OK |
Reviews
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