DR. JOHN M. WILSON (M.D.) – Psychiatry Physician, NPI 1164423836

DR. JOHN M. WILSON (M.D.) is a healthcare provider. based in Lynchburg, Virginia. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 0101056617 (VA). The NPI Number for DR. JOHN M. WILSON (M.D.) is 1164423836

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN M. WILSON (M.D.)
NPI
1164423836
Phone
Not provided
Address
1204 FENWICK DR
Enumeration Date
3 August 2005
Last Update Date
13 March 2008

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8048478000
Graduation Year
1984 (42 years ago)
PAC ID
5193747301
Group Practice PAC ID
5092791814
Professional Enrollment ID
I20051230000322
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JOHN M. WILSON (M.D.)

  • 1204, Fenwick Drive, Sheffield, Lynchburg, Lynchburg (city), Virginia, 24502, United States

    LYNCHBURG, VA 245022112

    Phone:

    Type: Mailing

  • Centra Virginia Baptist Hospital, 3300, Rivermont Avenue, Lynchburg, Lynchburg (city), Virginia, 24503, United States

    LYNCHBURG, VA 245032030

    Phone: (434) 200-5999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,005.

Total Amount is formed as General ($1,005) + Research ($0) + Ownership ($0) = $1,005.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($212).

Total Amount

$1,005

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,005

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-12-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051230000322IPsychiatryVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6927$0
96372Injection of drug or substance under skin or into muscle3311$0
36415Insertion of needle into vein for collection of blood sample2713$0
View full utilization report →

Insurance plans in this area (ZIP 24502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092791814View full group profile
NameSpecialtyState
-VA
Nurse PractitionerVA
Mental Health CounselorVA
-VA
Mental Health CounselorVA
Nurse PractitionerVA
Mental Health CounselorCA
-VA
Mental Health CounselorVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

How do I look up DR. JOHN M. WILSON (M.D.) by NPI?
Use NPI 1164423836 when you need to reference DR. JOHN M. WILSON (M.D.) in forms, claims, or directories.
Is DR. JOHN M. WILSON (M.D.)'s NPI currently valid?
The extract we use shows DR. JOHN M. WILSON (M.D.) as active.
What kind of provider is DR. JOHN M. WILSON (M.D.)?
The page reflects Psychiatry Physician for DR. JOHN M. WILSON (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. JOHN M. WILSON (M.D.) practice in Virginia?
You will see Lynchburg, Virginia on file for DR. JOHN M. WILSON (M.D.) alongside any extra practice locations.
What if Lynchburg, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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