DR. MARTHA L WILSON (M.D.) – Dermatology Physician, NPI 1336271733

DR. MARTHA L WILSON (M.D.) is a healthcare provider. based in Galax, Virginia. specializing in DERMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101230418 (VA). The NPI Number for DR. MARTHA L WILSON (M.D.) is 1336271733

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARTHA L WILSON (M.D.)
NPI
1336271733
Phone
(276) 238-9902
Address
104 E STUART DR
Enumeration Date
12 March 2007
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
3367242434
Graduation Year
1980 (46 years ago)
PAC ID
6901937333
Group Practice PAC ID
3173599479
Professional Enrollment ID
I20150902001310
Address ID
NC271031300WI1450XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

471 DERMATOLOGY in VA

Provider Addresses for DR. MARTHA L WILSON (M.D.)

  • 104 E STUART DR

    GALAX, VA 243332119

    Phone: (276) 238-9902

    Fax: (276) 238-9907

    Mailing address matches the actual address.

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: 2015-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (981 days ago).

Enrollment records

2

Earliest due date

2023-09-30

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
I20100629000912IDermatologyVATBD
I20150902001310IDermatologyNC2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 minutes704495$0
17003Destruction of precancer skin growth, 2-14 growths665125$0
17000Destruction of precancer skin growth, 1 growth301216$0
11102Biopsy of related skin growth, first growth292236$0
99212Established patient office or other outpatient visit, 10-19 minutes142115$0
View full utilization report →

Insurance plans in this area (ZIP 24333)

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Provider's Procedures

DR. MARTHA L WILSON (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYVA11101Biopsy of each additional growth of skin and/or tissue258144

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: 3173599479View full group profile
NameSpecialtyState
Physician AssistantNC
D E R M A T O L O G YNC
Physician AssistantFL
Physician AssistantNC
Physician AssistantNC
Nurse PractitionerNC
Physician AssistantNC
Micrographic Dermatologic Surgery (Mds), DermatologyNC
Physician AssistantNC
Physician AssistantNC

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Frequently asked questions

What is the registry number for DR. MARTHA L WILSON (M.D.)?
The registry entry for DR. MARTHA L WILSON (M.D.) shows NPI 1336271733.
Is DR. MARTHA L WILSON (M.D.)'s NPI status active today?
Active status means DR. MARTHA L WILSON (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. MARTHA L WILSON (M.D.)'s listing?
DR. MARTHA L WILSON (M.D.)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARTHA L WILSON (M.D.)?
DR. MARTHA L WILSON (M.D.) shows a connection to Galax, Virginia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.