ROBERT MICHAEL WILSON (PAC) – Physician Assistant, NPI 1740228329

ROBERT MICHAEL WILSON (PAC) is a healthcare provider. based in Salem, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 0110001209 (VA). The NPI Number for ROBERT MICHAEL WILSON (PAC) is 1740228329

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT MICHAEL WILSON (PAC)
NPI
1740228329
Phone
(540) 444-4020
Address
101 KNOTBREAK RD
Enumeration Date
3 June 2006
Last Update Date
26 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
6002089638
Group Practice PAC ID
6507886231
Professional Enrollment ID
I20111027000122
Address ID
VA241537474SA1900XRDXX300

Contacts

Secure Messaging
ROBERT.WILSON@hca6.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for ROBERT MICHAEL WILSON (PAC)

  • 101 KNOTBREAK RD

    SALEM, VA 241535404

    Phone: (540) 444-4020

    Fax: (540) 444-4021

    Type: Location

  • Roanoke Post Office, 1733, Grandin Road Southwest, Grandin Village, West End, Roanoke, Virginia, 24015, United States

    ROANOKE, VA 240140310

    Phone: (540) 345-3556

    Type: Mailing

  • Knotbreak Road, Kerner, Salem, Virginia, 24153, United States

    SALEM, VA 241537304

    Phone: (540) 444-4020

    Fax: (540) 444-4021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $509.

Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($213).

Total Amount

$509

General + Research + Ownership

Payments

12

Total payment records

General Amount

$509

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

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: 2011-10-27

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
I20111027000122IPhysician AssistantVATBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,734227$0
20610Aspiration and/or injection of fluid from large joint434257$0
99213Established patient office or other outpatient visit, 20-29 minutes272221$0
73562X-ray of knee, 3 views204151$0
99214Established patient office or other outpatient visit, 30-39 minutes135120$0
View full utilization report →

Insurance plans in this area (ZIP 24153)

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Provider's Procedures

ROBERT MICHAEL WILSON (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTVA20610Aspiration and/or injection of large joint or joint capsule485301
PHYSICIAN ASSISTANTVA73562X-ray of knee, 3 views186139

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: 6507886231View full group profile
NameSpecialtyState
Nurse PractitionerVA
P S Y C H I A T R YVA
Nurse PractitionerVA
Physician AssistantTN
Physician AssistantVA
-VA
Family PracticeVA
Nurse PractitionerVA
Family PracticeTN
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)OH

Reviews

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Frequently asked questions

Can I use this page to confirm ROBERT MICHAEL WILSON (PAC)'s NPI?
Yes. ROBERT MICHAEL WILSON (PAC) is listed with NPI 1740228329 in the public NPI dataset.
Does the file indicate ROBERT MICHAEL WILSON (PAC) is practicing under active NPI?
Directory data currently reports ROBERT MICHAEL WILSON (PAC) as active.
What is ROBERT MICHAEL WILSON (PAC) best known for clinically?
Directory data describes ROBERT MICHAEL WILSON (PAC) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ROBERT MICHAEL WILSON (PAC) based?
ROBERT MICHAEL WILSON (PAC) is tied to Salem, Virginia in the data we show; additional addresses may exist on the full record.
Is the information about ROBERT MICHAEL WILSON (PAC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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