DR. KEVIN FORD WILSON (DO) – Military Health Care Provider, NPI 1386965812
Military Health Care Provider
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,123 FAMILY PRACTICE in PA
Provider Addresses for DR. KEVIN FORD WILSON (DO)
22 Industrial Park Rd
Brookville, PA 158257228
Phone: (814) 849-0990
Fax: (814) 849-0992
Type: Location
145 Hospital Ave Ste 315
Du Bois, PA 158011465
Phone: (814) 503-4305
Fax: (814) 503-4307
Type: Location
100 HOSPITAL AVE
DU BOIS, PA 158011440
Phone: (814) 375-4200
Fax: (814) 375-4232
Type: Mailing
BLDG. H 2005 KNIGHT LANE
NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212
Phone:
Type: Mailing
1 WAHOO AVE # 600
GROTON, CT 063492324
Phone: (860) 694-3666
Type: Location
21911 US-119
PUNXSUTAWNEY, PA 15767
Phone: (814) 938-2602
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: 2021-10-25
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20211025000767 | I | Family Practice | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 27 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 14 | 13 | $0 |
Insurance plans in this area (ZIP 15825)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Emergency Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| P S Y C H I A T R Y | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| P S Y C H I A T R Y | PA | |
| P S Y C H I A T R Y | PA | |
| Nurse Practitioner | PA | |
| Emergency Medicine | PA | |
| Family Practice | FL |
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