DR. THOMAS WILLIAM WILSON (MD) – Ophthalmology Physician, NPI 1962478842
Ophthalmology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,143 OPHTHALMOLOGY in PA
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Provider Addresses for DR. THOMAS WILLIAM WILSON (MD)
100 N ACADEMY AVE # 4903
DANVILLE, PA 178229800
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
Woodbine Lane, Danville, Contra Costa County, California, 94526, United States
DANVILLE, PA 178218029
Phone: (570) 271-6531
Fax: (570) 271-7146
Type: Location
Guthrie Robert Packer Hospital, 1, Guthrie Square, Sayre, Bradford County, Pennsylvania, 18840, United States
SAYRE, PA 188401625
Phone: (570) 888-5858
Fax: (570) 882-3007
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $156.
Total Amount is formed as General ($95) + Research ($62) + Ownership ($0) = $156.
Last reported payment date: 2024-03-31 • Largest payer in this snapshot: Horizon Therapeutics plc ($95).
Total Amount
$156
General + Research + Ownership
Payments
2
Total payment records
General Amount
$95
General payments
Research Amount
$62
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Horizon Therapeutics plc | $95 |
| F. Hoffmann-La Roche AG | $62 |
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: 2004-03-22
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 |
|---|---|---|---|---|
| I20040322000402 | I | Ophthalmology | 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 | 17 | 17 | $0 |
| 92012 | Established patient problem focused exam of visual system | 13 | 12 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 17822)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | PA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 22 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | PA | |
| P S Y C H I A T R Y | NY | |
| Internal Medicine, Hospice/Palliative Care | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA |
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