STEPHEN P WILSON (P.A.C.) – Physician Assistant, NPI 1487740148
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for STEPHEN P WILSON (P.A.C.)
PO BOX 844658
DALLAS, TX 752844658
Phone: (800) 994-0371
Type: Mailing
309 LAKE RD STE A
BELTON, TX 765131513
Phone: (254) 399-5600
Type: Location
4510 Bell St
Amarillo, TX 791095714
Phone: (806) 212-4835
Fax: (806) 212-0900
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752840026
Phone: (806) 212-6965
Fax: (806) 212-6278
Type: Mailing
4510, Bell Street, The Village on Bell, Amarillo, Randall County, Texas, 79109, United States
AMARILLO, TX 791095714
Phone: (806) 212-4835
Fax: (806) 212-0900
Type: Location
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 $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-05-16 • Largest payer in this snapshot: PFIZER INC. ($14).
Total Amount
$23
General + Research + Ownership
Payments
2
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $14 |
| Organon LLC | $8 |
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: 2009-10-28
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 |
|---|---|---|---|---|
| I20091028000765 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 276 | 248 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 274 | 44 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 148 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 120 | 120 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 117 | 94 | $0 |
Insurance plans in this area (ZIP 75284)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 73630 | X-ray of foot, minimum of 3 views | 64 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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