MR. RUSSELL CARL WILSON (P.A.-C, A.T.C.) – Physician Assistant, NPI 1780675967
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for MR. RUSSELL CARL WILSON (P.A.-C, A.T.C.)
1101, West Eagle Drive, Decatur, Wise County, Texas, 76234, United States
SUITE B
DECATUR, TX 762343721
Phone: (940) 627-1770
Fax: (940) 627-2233
Type: Location
5083, Hawk Springs Drive, Sundown North, Colorado Springs, El Paso County, Colorado, 80923, United States
COLORADO SPRINGS, CO 809235121
Phone: (940) 210-9793
Type: Mailing
1125 RAINTREE CIR STE 100
ALLEN, TX 750135289
Phone: (972) 727-9995
Fax: (972) 727-8350
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Bioventus LLC ($49).
Total Amount
$167
General + Research + Ownership
Payments
8
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $49 |
| DePuy Synthes Sales Inc. | $36 |
| Orthofix Medical, Inc. | $25 |
| ConvaTec Inc. | $23 |
| SPR Therapeutics, Inc | $20 |
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: 2019-05-16
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 |
|---|---|---|---|---|
| I20140219000243 | I | Physician Assistant | TX | TBD |
| I20190516000570 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 89 | 54 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 80 | 60 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 80 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 28 | $0 |
| 73562 | X-ray of knee, 3 views | 22 | 16 | $0 |
Insurance plans in this area (ZIP 76234)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 73110 | X-ray of wrist, minimum of 3 views | 33 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TX | |
| Internal Medicine, Pediatric Medicine | TX | |
| Physician Assistant | NC | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| Nurse Practitioner | TX |
Reviews
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