DR. DIANA ELIZABETH WILSON (M.D.) – Neurological Surgery Physician, NPI 1538152400
Neurological Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
588 NEUROSURGERY in TX
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Provider Addresses for DR. DIANA ELIZABETH WILSON (M.D.)
890, Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761042145
Phone: (817) 820-4280
Fax: (817) 820-4281
Type: Mailing
PO Box 5010
Minot, ND 587025010
Phone: (701) 418-8000
Type: Location
1001 12TH AVE STE 171
FORT WORTH, TX 761043926
Phone: (817) 576-6500
Fax: (682) 703-2064
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $760.
Total Amount is formed as General ($760) + Research ($0) + Ownership ($0) = $760.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Medtronic, Inc. ($275).
Total Amount
$760
General + Research + Ownership
Payments
19
Total payment records
General Amount
$760
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $275 |
| Life Spine, Inc. | $127 |
| Globus Medical, Inc. | $78 |
| Providence Medical Technology, Inc. | $67 |
| Aesculap, Inc. | $43 |
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: 2026-02-24
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 |
|---|---|---|---|---|
| I20040114000121 | I | Neurosurgery | TX | TBD |
| I20260224002316 | I | Neurosurgery | ND | 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 | 120 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 41 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 23 | 11 | $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 |
|---|---|---|---|---|---|
| NEUROSURGERY | TX | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 37 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| - | ND | |
| - | ND | |
| Nurse Practitioner | ND | |
| - | ND | |
| O P T O M E T R Y | ND | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND | |
| - | CT | |
| Nurse Practitioner | ND |
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