DR. ADAM SPACH WILSON (M.D.) – Otolaryngology Physician, NPI 1790745933
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
321 OTOLARYNGOLOGY in WA
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Provider Addresses for DR. ADAM SPACH WILSON (M.D.)
Southeast 164th Avenue, Fisher's Landing East, Vancouver, Clark County, Washington, 98683, United States
VANCOUVER, WA 986839644
Phone: (360) 256-4425
Fax: (360) 254-1844
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: 2007-02-19
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 |
|---|---|---|---|---|
| I20070219000660 | I | Otolaryngology | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 117 | 17 | $0 |
| 95115 | Professional service for single injection of allergen | 103 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 79 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 99 | 99 | $0 |
| 69210 | Removal of impacted ear wax | 85 | 61 | $0 |
Insurance plans in this area (ZIP 98683)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| Physician Assistant | WA | |
| General Surgery, Thoracic Surgery | WA | |
| General Surgery, Thoracic Surgery | WA | |
| Family Practice | WA | |
| O P H T H A L M O L O G Y | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Physician Assistant | WA | |
| Medical Oncology | WA | |
| Nephrology, Internal Medicine | WA |
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