ANDREW STEPHEN WILSON (DO) – Interventional Cardiology Physician, NPI 1194229336
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,430 CARDIOVASCULAR DISEASE (CARDIOLOGY) in TX
Provider Addresses for ANDREW STEPHEN WILSON (DO)
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 782344504
Phone: (210) 916-5910
Fax: (210) 916-2077
Type: Mailing
501 N Graham St Ste 200
Portland, OR 972272000
Phone: (503) 413-4710
Type: Location
2101 NE 139th St Ste 360
Vancouver, WA 986862313
Phone: (360) 487-1965
Type: Location
9040 JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA 984310001
Phone: (253) 968-1100
Fax: (253) 968-0100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $3,247.
Total Amount is formed as General ($3,247) + Research ($0) + Ownership ($0) = $3,247.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($1,145).
Total Amount
$3,247
General + Research + Ownership
Payments
29
Total payment records
General Amount
$3,247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,145 |
| Boston Scientific Corporation | $595 |
| ABIOMED | $526 |
| Shockwave Medical, Inc | $247 |
| Abbott Laboratories | $181 |
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: 2026-02-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260212003174 | I | Cardiovascular Disease (Cardiology) | WA | TBD |
| I20260213000002 | I | Cardiovascular Disease (Cardiology) | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78234)
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