JODY M WILSON (MD) – Pediatrics Physician, NPI 1518933290

JODY M WILSON (MD) is a healthcare provider. based in Tyler, Texas. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 25350 (OK). The NPI Number for JODY M WILSON (MD) is 1518933290

Main info

Male
Name
JODY M WILSON (MD)
NPI
1518933290
Phone
(903) 593-1892
Address
2990 N Broadway Ave
Enumeration Date
23 February 2006
Last Update Date
20 November 2018
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

Provider Addresses for JODY M WILSON (MD)

  • 2990 N Broadway Ave

    Tyler, TX 757022149

    Phone: (903) 593-1892

    Fax: (903) 592-3886

    Type: Location

  • 1401, East Van Buren Avenue, McAlester, Pittsburg County, Oklahoma, 74501, United States

    MCALESTER, OK 745014245

    Phone: (918) 421-8410

    Fax: (918) 421-8772

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($22).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-30

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 75702)

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Reviews

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Frequently asked questions

Can I cross-check JODY M WILSON (MD) using NPI 1518933290?
NPI 1518933290 belongs to JODY M WILSON (MD); compare other details if you need extra assurance.
Is there an active status for JODY M WILSON (MD)?
For scheduling context, JODY M WILSON (MD) is shown as active in the registry.
How would a patient describe JODY M WILSON (MD)'s focus?
For JODY M WILSON (MD), the primary taxonomy reads as Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JODY M WILSON (MD)?
Directory geography for JODY M WILSON (MD) centers on Tyler, Texas.
Can I trust this NPI listing for JODY M WILSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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