DR. MICHAEL D WILSON MD
NPI 1013000801
Orthopaedic Surgery in Dalton, GA

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
85.96/100
CMS Quality Rating
1104 PROFESSIONAL BLVD, DALTON, GA 30720(706) 226-5533(706) 428-0033 Get Directions Write a Review

NPPES record last updated: December 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael D Wilson Md NPPES

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

DR. MICHAEL D WILSON MD (NPI 1013000801) is an individual orthopaedic surgery provider in Dalton, Georgia, licensed in Georgia (041498) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1994).

NPPES Registry Identity

NPI1013000801
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL D WILSONCredential: MD
Location Address1104 PROFESSIONAL BLVDDalton, GA 30720-2588
Mailing Address1104 Professional BlvdDalton, GA 30720-2588 · (706) 226-5533 · Fax (706) 529-5858
Fax(706) 428-0033
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1994
Enumeration DateOctober 2, 2006
Last NPPES UpdateDecember 19, 2008
NPI 1013000801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 041498
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 041498 (GA)
1104 PROFESSIONAL BLVD, Dalton, GA 30720

Other Identifiers 4

Medicare UPINH17572GA
Medicaid00869525BGA
Other927802GA · Bcbs Edi
Medicare ID-Type Unspecified20NCCDGGA

Accepted Insurance

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. Michael D Wilson Md 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 ID4082604251
PECOS Enrollment IDI20040518000884
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 22

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.

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.
407 services242 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
263 services102 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
161 services114 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
118 services93 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
116 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
76 services76 patients

Hospital Affiliations CMS Care Compare 2

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

85.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.03
Promoting Interoperability100
Improvement Activities40
Cost78.18

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$40.61 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$61.51 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier11 claims12 services$45.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Specialist/Technologist (Athletic Trainer)
1104 PROFESSIONAL BLVD
DALTON, GA 30720
Physician Assistant
1104 PROFESSIONAL BLVD
DALTON, GA 30720
Orthopaedic Surgery (Sports Medicine)
1104 PROFESSIONAL BLVD
DALTON, GA 30720
Physical Therapy Assistant
1104 PROFESSIONAL BLVD
DALTON, GA 30720
Orthopaedic Surgery (Sports Medicine)
1104 PROFESSIONAL BLVD
DALTON, GA 30720
Clinic/Center (Ambulatory Surgical)
1104 PROFESSIONAL BLVD
DALTON, GA 30720
Physician Assistant
1104 PROFESSIONAL BLVD
DALTON, GA 30720
Nurse Practitioner
1104 PROFESSIONAL BLVD
DALTON, GA 30720

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 Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1013000801. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Michael Wilson located?

Michael Wilson practices at 1104 Professional Blvd, Dalton, GA 30720. The listed phone number is (706) 226-5533.

What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Wilson enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Wilson accept?

Health plans from Alliant Health Plans, Inc. list Michael Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Wilson affiliated with any hospitals?

According to CMS data, Michael Wilson is affiliated with Hamilton Medical Center and Adventhealth Murray.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on December 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.