DR. MICHAEL RICHARD WILSON (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1932185584
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
125 PHYSICAL MEDICINE AND REHABILITATION in OR
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Provider Addresses for DR. MICHAEL RICHARD WILSON (D.O.)
NW Cornea Institute, 1040, Northwest 22nd Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States
SUITE 320
PORTLAND, OR 972103057
Phone: (503) 413-6294
Fax: (503) 413-7780
Type: Mailing
7600 S County Line Rd
Burr Ridge, IL 605276950
Phone: (630) 388-6700
Fax: (630) 388-6777
Type: Location
355 E ERIE ST
CHICAGO, IL 606113167
Phone: (312) 238-1000
Type: Mailing
900 SKOKIE BLVD
NORTHBROOK, IL 600624012
Phone: (847) 272-7426
Fax: (847) 412-6440
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: 2024-01-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050722000324 | I | Osteopathic Manipulative Medicine | OR | TBD |
| I20240125002069 | I | Physical Medicine And Rehabilitation | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Physical Medicine And Rehabilitation | IL | |
| - | IL | |
| Physical Medicine And Rehabilitation | IL | |
| - | IL | |
| Physical Medicine And Rehabilitation, Pain Management | IL | |
| Physical Medicine And Rehabilitation | IL |
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