TIMOTHY R WILSON (MD) – Family Medicine Physician, NPI 1487613402

TIMOTHY R WILSON (MD) is a healthcare provider. based in Richmond, Virginia. specializing in FAMILY PRACTICE, PERIPHERAL VASCULAR DISEASE. They hold the professional credentials MD. They hold a License No. 0101238898 (VA). The NPI Number for TIMOTHY R WILSON (MD) is 1487613402

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY R WILSON (MD)
NPI
1487613402
Phone
(804) 353-4000
Address
PO BOX 11768
Enumeration Date
20 March 2006
Last Update Date
1 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543994673
Graduation Year
1997 (29 years ago)
PAC ID
9537186184
Group Practice PAC ID
6406039882
Professional Enrollment ID
I20051102000186
Address ID
VA232331478RI3900XPKWY300
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

6,722 FAMILY PRACTICE in FL

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Provider Addresses for TIMOTHY R WILSON (MD)

  • Box, Blayds Yard, Holbeck Urban Village, Leeds, West Yorkshire, Yorkshire and the Humber, England, LS1 4AF, United Kingdom

    RICHMOND, VA 232300168

    Phone: (804) 353-4000

    Fax: (804) 213-9783

    Type: Mailing

  • 300, 71st Street, Atlantic Heights, Miami Beach, Miami-Dade County, Florida, 33141, United States

    SUITE 620

    MIAMI BEACH, FL 331413089

    Phone: (305) 866-9951

    Fax: (877) 284-8933

    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: 2011-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051102000186IFamily PracticeVATBD
I20111006000700IFamily PracticeDCTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less1,543328$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,073309$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less828145$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes398205$0
17250Application of chemical to stop tissue regrowth in wound387114$0
View full utilization report →

Insurance plans in this area (ZIP 23230)

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Provider's Procedures

TIMOTHY R WILSON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL11042Removal of skin and tissue first 20 sq cm or less441149

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: 6406039882View full group profile
NameSpecialtyState
-WV
Family PracticeDE
Internal MedicineNY
General PracticeFL
Nurse PractitionerPA
General SurgeryAL
General PracticeNY
General PracticeOH
Nurse PractitionerKY
Family Practice, Peripheral Vascular DiseaseOH

Reviews

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Frequently asked questions

Can I verify TIMOTHY R WILSON (MD) with an NPI only?
You can start verification with NPI 1487613402 for TIMOTHY R WILSON (MD), then check state licensing separately.
Is TIMOTHY R WILSON (MD) still practicing?
TIMOTHY R WILSON (MD) is currently listed as active in the public NPI registry.
What is TIMOTHY R WILSON (MD) best known for clinically?
Directory data describes TIMOTHY R WILSON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is TIMOTHY R WILSON (MD) based?
TIMOTHY R WILSON (MD) is tied to Richmond, Virginia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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