DAVID D. WILSON (M.D.) – Diagnostic Radiology Physician, NPI 1164420923

DAVID D. WILSON (M.D.) is a healthcare provider. based in Portland, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. F7311 (TX). The NPI Number for DAVID D. WILSON (M.D.) is 1164420923

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DAVID D. WILSON (M.D.)
NPI
1164420923
Phone
(361) 887-7000
Address
1776 Billy G Webb
Enumeration Date
14 July 2005
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
7134613573
Graduation Year
1980 (46 years ago)
PAC ID
4082528377
Group Practice PAC ID
6305731118
Professional Enrollment ID
I20031119000755
Address ID
TX779793025PO815XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for DAVID D. WILSON (M.D.)

  • 1776 Billy G Webb

    Portland, TX 783743706

    Phone: (361) 887-7000

    Fax: (361) 561-3185

    Type: Location

  • 1812, South Alameda Street, Corpus Christi, Nueces County, Texas, 78404, United States

    CORPUS CHRISTI, TX 784042933

    Phone: (361) 561-3100

    Fax: (361) 561-3185

    Type: Mailing

  • 3929 River East Dr

    Corpus Christi, TX 784105101

    Phone: (361) 887-7000

    Fax: (361) 561-3185

    Type: Location

  • 5742 Spohn Dr

    Corpus Christi, TX 784144116

    Phone: (361) 887-7000

    Fax: (361) 561-3185

    Type: Location

  • 2000 Dr N W Atkinson Blvd Ste 801

    Alice, TX 783324241

    Phone: (361) 887-7000

    Fax: (361) 561-3185

    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: 2003-11-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031119000755IDiagnostic RadiologyTXTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml27,420258$0
A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml2,050103$0
77080Dxa bone density measurement of hip, pelvis, spine474474$0
82565Blood creatinine level278266$0
71046X-ray of chest, 2 views230228$0
View full utilization report →

Insurance plans in this area (ZIP 78374)

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Provider's Procedures

DAVID D. WILSON (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71010X-ray of chest, 1 view, front493410
DIAGNOSTIC RADIOLOGYTX71250CT scan chest8281
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views1715
DIAGNOSTIC RADIOLOGYTX74177CT scan of abdomen and pelvis with contrast7575
DIAGNOSTIC RADIOLOGYTX78815Nuclear medicine study with CT imaging skull base to mid-thigh9288
DIAGNOSTIC RADIOLOGYTX93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1111

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: 6305731118View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyLA
Diagnostic RadiologyTX
Diagnostic RadiologyGA
Diagnostic RadiologyTX
-TX
Interventional Cardiology, Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Interventional Radiology, Diagnostic RadiologyPA

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Frequently asked questions

What NPI should I save for DAVID D. WILSON (M.D.)?
Save NPI 1164420923 if you need a stable reference for DAVID D. WILSON (M.D.).
Is DAVID D. WILSON (M.D.)'s NPI currently valid?
The extract we use shows DAVID D. WILSON (M.D.) as active.
Does DAVID D. WILSON (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DAVID D. WILSON (M.D.). Clinical services aligned with this taxonomy classification.
Where is DAVID D. WILSON (M.D.)'s primary listing?
We display Portland, Texas because that is what the record indicates for DAVID D. WILSON (M.D.).
What if Portland, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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