DR. MARK C. WILDE (PSY.D.) – Clinical Neurophysiology Physician, NPI 1730148925
Clinical Neurophysiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,347 CLINICAL PSYCHOLOGIST in TX
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Provider Addresses for DR. MARK C. WILDE (PSY.D.)
Hargrave Road, Houston, Harris County, Texas, 77070, United States
SUITE 505
HOUSTON, TX 770704373
Phone: (281) 737-1167
Fax: (281) 469-1460
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $367.
Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: UCB, Inc. ($180).
Total Amount
$367
General + Research + Ownership
Payments
14
Total payment records
General Amount
$367
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $180 |
| Eisai Inc. | $86 |
| Boston Scientific Corporation | $35 |
| iRhythm Technologies, Inc. | $34 |
| Genentech USA, Inc. | $16 |
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: 2010-06-01
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 |
|---|---|---|---|---|
| I20100601000733 | I | Clinical Psychologist | 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 |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 271 | 84 | $0 |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 250 | 64 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 193 | 143 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 120 | 120 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 99 | 99 | $0 |
Insurance plans in this area (ZIP 77070)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | TX | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 37 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| N E U R O L O G Y | TX | |
| Otolaryngology, Plastic And Reconstructive Surgery | TX | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Radiation Oncology | GA | |
| Physician Assistant | TX |
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