MISTI H WILSON (M.D.) – Surgery Physician, NPI 1407035629
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
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Provider Addresses for MISTI H WILSON (M.D.)
Bon Secours St. Francis Watkins Centre, 601, Watkins Centre Parkway, Midlothian, Chesterfield County, Virginia, 23114, United States
SUITE 200
MIDLOTHIAN, VA 231140002
Phone: (804) 594-3130
Fax: (804) 423-6517
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)
CMS reports 4 Open Payments records for all available years, with a total value of $97.
Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Molli Surgical (us) Inc ($44).
Total Amount
$97
General + Research + Ownership
Payments
4
Total payment records
General Amount
$97
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Molli Surgical (us) Inc | $44 |
| Integra LifeSciences Corporation | $36 |
| Sanara MedTech Inc. | $17 |
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: 2013-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (958 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20131003000525 | I | General Surgery | VA | 2023-10-31 |
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.
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 |
|---|---|---|---|---|
| 76642 | Limited ultrasound scan of 1 breast | 94 | 87 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 60 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 61 | 61 | $0 |
| 19301 | Partial removal of breast | 47 | 46 | $0 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 43 | 43 | $0 |
Insurance plans in this area (ZIP 23114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | VA | |
| - | VA | |
| - | VA | |
| Cardiac Surgery | VA | |
| - | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| - | VA | |
| Hospice/Palliative Care | VA | |
| Nurse Practitioner | VA | |
| Gastroenterology, Internal Medicine | VA |
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