DR. BENJAMIN WILSON (D.O.) – Vascular & Interventional Radiology Physician, NPI 1821382409
Vascular & Interventional Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
450 INTERVENTIONAL RADIOLOGY in TX
Provider Addresses for DR. BENJAMIN WILSON (D.O.)
1429 Clear Lake Rd Ste 400
Weatherford, TX 760868803
Phone: (817) 321-0404
Type: Location
815 Pennsylvania Ave
Fort Worth, TX 761042294
Phone: (817) 321-0404
Type: Location
17980 Dallas Pkwy Ste 200
Dallas, TX 752876817
Phone: (817) 321-0404
Type: Location
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 271-6144
Type: Mailing
100 N Academy Ave
Danville, PA 178222007
Phone: (570) 270-6301
Type: Location
816 W CANNON ST
FORT WORTH, TX 761043194
Phone: (817) 321-0404
Type: Mailing
1301 PENNSYLVANIA AVE
FORT WORTH, TX 761042122
Phone: (817) 321-0404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $2,163.
Total Amount is formed as General ($2,163) + Research ($0) + Ownership ($0) = $2,163.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Penumbra, Inc. ($465).
Total Amount
$2,163
General + Research + Ownership
Payments
34
Total payment records
General Amount
$2,163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $465 |
| Inari Medical, Inc. | $394 |
| Boston Scientific Corporation | $385 |
| Nevro Corp. | $359 |
| Surmodics, Inc. | $279 |
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: 2021-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170801000216 | I | Interventional Radiology | PA | TBD |
| I20200325003435 | I | Interventional Radiology | AZ | TBD |
| I20211122000356 | I | Interventional Radiology | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 140 | 137 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 102 | 99 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 66 | 59 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 57 | 54 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 46 | 20 | $0 |
Insurance plans in this area (ZIP 76086)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Nuclear Medicine, Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| - | TX | |
| Interventional Radiology, Diagnostic Radiology | TX | |
| Nurse Practitioner | TX |
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