DR. BENJAMIN WILSON IV COVINGTON (M.D.) – Family Medicine Physician, NPI 1336140474

DR. BENJAMIN WILSON IV COVINGTON (M.D.) is a healthcare provider. based in Weatherford, Texas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. L5709 (TX). The NPI Number for DR. BENJAMIN WILSON IV COVINGTON (M.D.) is 1336140474

Main info

Male
25 Years Of Experience
Name
DR. BENJAMIN WILSON IV COVINGTON (M.D.)
NPI
1336140474
Phone
(817) 514-6193
Address
730 EUREKA ST
Enumeration Date
10 August 2005
Last Update Date
28 January 2013

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9726256020
Graduation Year
2001 (25 years ago)
PAC ID
4284693490
Group Practice PAC ID
3072679828
Professional Enrollment ID
I20041005000169
Address ID
TX750336750FR9205XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. BENJAMIN WILSON IV COVINGTON (M.D.)

  • 730, Eureka Street, Weatherford, Parker County, Texas, 76086, United States

    WEATHERFORD, TX 760866546

    Phone: (817) 514-6193

    Fax: (817) 514-6947

    Type: Location

  • PO BOX 26804

    BENBROOK, TX 761260804

    Phone: (817) 514-6193

    Fax: (817) 514-6947

    Type: Mailing

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: 2004-10-05

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
I20041005000169IFamily PracticeTXTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg15014$0
96372Injection of drug or substance under skin or into muscle3221$0
99213Established patient office or other outpatient visit, 20-29 minutes3028$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
99214Established patient office or other outpatient visit, 30-39 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 76086)

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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: 3072679828View full group profile
NameSpecialtyState
Family PracticeTX
Emergency MedicineTX
Nurse PractitionerTX
Physician AssistantTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineLA
Family Practice, Emergency MedicineTX
Physician AssistantKS
Emergency Medicine, Undersea And Hyperbaric MedicineTX

Reviews

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Frequently asked questions

How is DR. BENJAMIN WILSON IV COVINGTON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. BENJAMIN WILSON IV COVINGTON (M.D.) with NPI 1336140474.
Does the file indicate DR. BENJAMIN WILSON IV COVINGTON (M.D.) is practicing under active NPI?
Directory data currently reports DR. BENJAMIN WILSON IV COVINGTON (M.D.) as active.
What is DR. BENJAMIN WILSON IV COVINGTON (M.D.)'s specialty?
The listing groups DR. BENJAMIN WILSON IV COVINGTON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BENJAMIN WILSON IV COVINGTON (M.D.) on a map?
Expect Weatherford, Texas as a primary anchor for DR. BENJAMIN WILSON IV COVINGTON (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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