SEAN E WILSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1114917812

SEAN E WILSON (DPM) is a healthcare provider. based in Brookfield, Wisconsin. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 780025 (WI). The NPI Number for SEAN E WILSON (DPM) is 1114917812

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
SEAN E WILSON (DPM)
NPI
1114917812
Phone
(262) 780-4400
Address
19475 W NORTH AVE
Enumeration Date
24 October 2005
Last Update Date
10 December 2020

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2627995605
Graduation Year
1997 (29 years ago)
PAC ID
0143369173
Group Practice PAC ID
8325930480
Professional Enrollment ID
I20210812003982
Address ID
WI530054423BR17000AVEX407

Contacts

Secure Messaging
sean.wilson.1@10114.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

297 PODIATRY in WI

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Provider Addresses for SEAN E WILSON (DPM)

  • West North Avenue, Brookfield, Waukesha County, Wisconsin, 53005, United States

    SUITE 201

    BROOKFIELD, WI 530454199

    Phone: (262) 780-4400

    Fax: (262) 780-4425

    Type: Mailing

  • 2424, South 90th Street, Eckel Woods, West Allis, Milwaukee County, Wisconsin, 53227, United States

    SUITE 500

    WEST ALLIS, WI 532272455

    Phone: (414) 328-8600

    Fax: (414) 328-8686

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $4,771.

Total Amount is formed as General ($4,771) + Research ($0) + Ownership ($0) = $4,771.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: DJO, LLC ($3,183).

Total Amount

$4,771

General + Research + Ownership

Payments

26

Total payment records

General Amount

$4,771

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-08-12

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
I20210812003982IPodiatryWITBD

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
11721Removal of fingernails or toenails, 6 or more nails14169$0
99213Established patient office or other outpatient visit, 20-29 minutes10876$0
73630X-ray of foot, minimum of 3 views8860$0
99203New patient office or other outpatient visit, 30-44 minutes5353$0
J1030Injection, methylprednisolone acetate, 40 mg5132$0
View full utilization report →

Insurance plans in this area (ZIP 53045)

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Provider's Procedures

SEAN E WILSON (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYWI73630X-ray of foot, minimum of 3 views10856

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: 8325930480View full group profile
NameSpecialtyState
Interventional Pain Management, Pain ManagementWI
Orthopedic SurgeryWI
Orthopedic SurgeryWI
Orthopedic SurgeryWI
Physician AssistantWI
-WI
P O D I A T R YWI
Orthopedic SurgeryWI
Physician AssistantWI
Physician AssistantWI

Reviews

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Frequently asked questions

How do I look up SEAN E WILSON (DPM) by NPI?
Use NPI 1114917812 when you need to reference SEAN E WILSON (DPM) in forms, claims, or directories.
Is SEAN E WILSON (DPM)'s NPI currently valid?
The extract we use shows SEAN E WILSON (DPM) as active.
What kind of provider is SEAN E WILSON (DPM)?
The page reflects Foot & Ankle Surgery Podiatrist for SEAN E WILSON (DPM). Clinical services aligned with this taxonomy classification.
What location metadata exists for SEAN E WILSON (DPM)?
The page summarizes Brookfield, Wisconsin for SEAN E WILSON (DPM); expand the address list for detail.
How can I contact SEAN E WILSON (DPM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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