DR. KATHLEEN B WILSON (MD) – Internal Medicine Physician, NPI 1477515690
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
903 INTERNAL MEDICINE in UT
Loading map...
Provider Addresses for DR. KATHLEEN B WILSON (MD)
3900 South, Millcreek, Salt Lake County, Utah, 84109, United States
SUITE 1200
SALT LAKE CITY, UT 84124
Phone: (801) 261-9651
Fax: (801) 261-9656
Type: Mailing
3900 South, West Valley City, Salt Lake County, Utah, 84119, United States
SUITE 1200
SALT LAKE CITY, UT 84124
Phone: (801) 261-9651
Fax: (801) 261-9656
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $527.
Total Amount is formed as General ($527) + Research ($0) + Ownership ($0) = $527.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Astellas Pharma US Inc ($105).
Total Amount
$527
General + Research + Ownership
Payments
29
Total payment records
General Amount
$527
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $105 |
| Lilly USA, LLC | $96 |
| Amgen Inc. | $74 |
| ABBVIE INC. | $47 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $47 |
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: 2004-05-25
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 |
|---|---|---|---|---|
| I20040525000946 | I | Internal Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 103 | 86 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 101 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 72 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 44 | 38 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 21 | 15 | $0 |
Insurance plans in this area (ZIP 84124)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | UT | 90670 | Pneumococcal vaccine for injection into muscle | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | IL | |
| Internal Medicine | UT | |
| Internal Medicine | UT | |
| Internal Medicine, Infectious Disease | UT | |
| Internal Medicine | UT | |
| Infectious Disease, Internal Medicine | UT | |
| Internal Medicine | UT | |
| - | UT | |
| Internal Medicine, Geriatric Medicine | UT | |
| Nurse Practitioner | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.