CARL THAYNE WILSON (MD) – Anesthesiology Physician, NPI 1073608659
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CARL THAYNE WILSON (MD)
3340, North Center Street, Lehi, Utah County, Utah, 84043, United States
#800
LEHI, UT 840437406
Phone: (801) 990-1911
Fax: (801) 990-1912
Type: Mailing
Utah Valley Hospital, 1034, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Phone: (801) 507-5248
Fax: (801) 733-5618
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-01-21
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 |
|---|---|---|---|---|
| I20110121000209 | I | Anesthesiology | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MT | |
| Nurse Practitioner | ND | |
| Physical Therapist In Private Practice | ND | |
| Pain Management, Interventional Pain Management | KY | |
| Nurse Practitioner | ND | |
| General Practice | ND | |
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| Family Practice | KS | |
| - | FL |
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