WILSON OMESIETE (MD) – Dermatology Physician, NPI 1609373695
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
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Provider Addresses for WILSON OMESIETE (MD)
1215 LEE ST BOX 800376
CHARLOTTESVILLE, VA 229080816
Phone: (434) 924-5078
Fax: (434) 924-8118
Type: Mailing
University of Virginia Medical Center, 1215, Lee Street, Jefferson Park Avenue, Starr Hill, Charlottesville, Virginia, 22908, United States
CHARLOTTESVILLE, VA 229080816
Phone: (434) 924-5078
Fax: (434) 924-8118
Type: Location
1220 LANGFORD DR STE 103
WATKINSVILLE, GA 306777221
Phone: (706) 353-8220
Fax: (706) 353-8220
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $1,241.
Total Amount is formed as General ($1,241) + Research ($0) + Ownership ($0) = $1,241.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: ABBVIE INC. ($1,151).
Total Amount
$1,241
General + Research + Ownership
Payments
7
Total payment records
General Amount
$1,241
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,151 |
| SANOFI-AVENTIS U.S. LLC | $90 |
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: 2025-08-18
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 |
|---|---|---|---|---|
| I20250818001970 | I | Dermatology | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22908)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | WI | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA | |
| Nurse Practitioner | NC | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | TN | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | FL |
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