GREGORY J WILSON (DO) – Rheumatology Physician, NPI 1669406799

GREGORY J WILSON (DO) is a healthcare provider. based in State college, Pennsylvania. specializing in RHEUMATOLOGY. They hold the professional credentials DO. They hold a License No. OS-013257 (PA). The NPI Number for GREGORY J WILSON (DO) is 1669406799

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY J WILSON (DO)
NPI
1669406799
Phone
(814) 235-0484
Address
2505 GREEN TECH DR STE C
Enumeration Date
11 July 2006
Last Update Date
7 June 2023

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
6103854583
Group Practice PAC ID
8426136797
Professional Enrollment ID
I20050727000728
Address ID
PA168036797St155XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness75
Years active:19State licenses:4Digital endpointsOther names

404 RHEUMATOLOGY in PA

Provider Addresses for GREGORY J WILSON (DO)

  • 2505 GREEN TECH DR STE C

    STATE COLLEGE, PA 168032316

    Phone: (814) 235-0484

    Fax: (814) 234-7587

    Type: Location

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    Type: Mailing

  • Saint Lukes Meridian Medical Center, 520, South Eagle Road, Nampa, Ada County, Idaho, 83642, United States

    SUITE 3211

    MERIDIAN, ID 836426351

    Phone: (208) 706-5942

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $21,925.

Total Amount is formed as General ($21,925) + Research ($0) + Ownership ($0) = $21,925.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($11,738).

Total Amount

$21,925

General + Research + Ownership

Payments

117

Total payment records

General Amount

$21,925

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-06-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050727000728IRheumatologyPATBD
I20140625000189IRheumatologyIDTBD

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
J0897Injection, denosumab, 1 mg90414$0
99204New patient office or other outpatient visit, 45-59 minutes175175$0
99214Established patient office or other outpatient visit, 30-39 minutes16681$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13717$0
96372Injection of drug or substance under skin or into muscle3621$0
View full utilization report →

Insurance plans in this area (ZIP 16803)

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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: 8426136797View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalPA
-PA
Nurse PractitionerPA
-PA
Nurse PractitionerPA
-PA
-PA
Physician AssistantPA
Internal Medicine, Hospice/Palliative CarePA
Diagnostic RadiologyPA

Reviews

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Frequently asked questions

What is the registry number for GREGORY J WILSON (DO)?
The registry entry for GREGORY J WILSON (DO) shows NPI 1669406799.
Should I treat GREGORY J WILSON (DO) as an active provider?
Patients and plans typically see GREGORY J WILSON (DO) as active in the national extract.
What services align with GREGORY J WILSON (DO)'s listing?
GREGORY J WILSON (DO)'s public classification highlights Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to GREGORY J WILSON (DO)?
The directory associates GREGORY J WILSON (DO) with State College, Pennsylvania. Check all listed addresses for suites or satellite offices.
Can I export GREGORY J WILSON (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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