DR. MATTHEW J. WILSON M.D.
NPI 1003093600
Internal Medicine - Cardiovascular Disease in Atlanta, GA

Active since January 25, 2008PECOS EnrolledAccepts Medicare Assignment
81.53/100
CMS Quality Rating
755 MT VERNON HWY, SUITE 530, ATLANTA, GA 30328(404) 252-7970(404) 250-0553 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew J. Wilson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW J. WILSON M.D. (NPI 1003093600) is an individual cardiovascular disease provider in Atlanta, Georgia, licensed in Georgia (054294) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and is a graduate of West Virginia University School Of Medicine (2002).

NPPES Registry Identity

NPI1003093600
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MATTHEW J. WILSONCredential: M.D.
Location Address755 MT VERNON HWY, SUITE 530Atlanta, GA 30328
Mailing Address755 Mt Vernon Hwy, Suite 530Atlanta, GA 30328-4274 · (404) 252-7970 · Fax (404) 250-0553
Fax(404) 250-0553
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2002
Enumeration DateJanuary 25, 2008
Last NPPES UpdateSeptember 14, 2012
NPI 1003093600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in GA · 054294
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
755 MT VERNON HWY, Atlanta, GA 30328

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew J. Wilson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072683689
PECOS Enrollment IDI20080609000019
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,533 services811 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,089 services608 patients
Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502
Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
402 services201 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
379 services365 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
292 services261 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
280 services232 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.99
Improvement Activities40
Cost38.45

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
755 MT VERNON HWY, SUITE 460
ATLANTA, GA 30328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Wilson's NPI number?

The NPI number for Matthew Wilson is 1003093600. It was assigned to this individual provider in the NPPES registry on January 25, 2008.

Where is Matthew Wilson located?

Matthew Wilson practices at 755 Mt Vernon Hwy Suite 530, Atlanta, GA 30328. The listed phone number is (404) 252-7970.

What is Matthew Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Matthew Wilson enrolled in Medicare?

Yes. Matthew Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Matthew Wilson affiliated with any hospitals?

According to CMS data, Matthew Wilson is affiliated with Saint Joseph's Hospital Of Atlanta, Inc and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Wilson was last updated on September 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.