JOHN D WILSON (MD) – Diagnostic Radiology Physician, NPI 1144204652
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
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Provider Addresses for JOHN D WILSON (MD)
816, West Cannon Street, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761043146
Phone: (817) 321-0404
Type: Mailing
1750, North Hampton Road, DeSoto, Dallas County, Texas, 75115, United States
DESOTO, TX 75115
Phone: (817) 321-0404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2023-06-07 • Largest payer in this snapshot: Inari Medical, Inc. ($58).
Total Amount
$58
General + Research + Ownership
Payments
1
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $58 |
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: 2004-01-27
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 |
|---|---|---|---|---|
| I20040127001049 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 335 | 278 | $0 |
| 70450 | Ct scan head or brain without contrast | 178 | 159 | $0 |
| 71046 | X-ray of chest, 2 views | 105 | 104 | $0 |
| 74018 | X-ray of abdomen, 1 view | 59 | 58 | $0 |
| 70551 | Mri scan of brain without contrast | 57 | 57 | $0 |
Insurance plans in this area (ZIP 76104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TX | 71010 | X-ray of chest, 1 view, front | 756 | 599 |
| DIAGNOSTIC RADIOLOGY | TX | 71250 | CT scan chest | 19 | 18 |
| DIAGNOSTIC RADIOLOGY | TX | 73562 | X-ray of knee, 3 views | 55 | 47 |
| DIAGNOSTIC RADIOLOGY | TX | 73630 | X-ray of foot, minimum of 3 views | 36 | 33 |
| DIAGNOSTIC RADIOLOGY | TX | 74177 | CT scan of abdomen and pelvis with contrast | 21 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Nuclear Medicine, Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| - | TX | |
| Interventional Radiology, Diagnostic Radiology | TX | |
| Nurse Practitioner | TX |
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