DAVID WILSON
NPI 1043286123
Internal Medicine - Pulmonary Disease in Pittsburgh, PA

Active since February 27, 2006PECOS Enrolled
77.5/100
CMS Quality Rating
5115 CENTRE AVE, HILLMAN CANCE CENTER 2ND FLOOR, PITTSBURGH, PA 15232(412) 687-3355 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Wilson NPPES

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

DAVID WILSON (NPI 1043286123) is an individual pulmonary disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD025253E) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043286123
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDAVID WILSON
Location Address5115 CENTRE AVE, HILLMAN CANCE CENTER 2ND FLOORPittsburgh, PA 15232-1301
Mailing Address2 Hot Metal St, Quantum One Suite 001Pittsburgh, PA 15203-2348
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateMay 24, 2021
NPI 1043286123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · MD025253E
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

5115 CENTRE AVE, Pittsburgh, PA 15232

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
186 services31 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.
106 services83 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 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.
23 services21 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 33

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers48 claims48 services$31.51 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers30 claims60 services$1.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers32 claims32 services$73.28 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers33 claims79 services$28.61 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers29 claims156 services$13.10 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers34 claims34 services$48.53 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 20

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

Physician Assistant (Medical)
5115 CENTRE AVE
PITTSBURGH, PA 15232
Internal Medicine (Hematology & Oncology)
5115 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Internal Medicine (Medical Oncology)
5115 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Practitioner (Acute Care)
5115 CENTRE AVE
PITTSBURGH, PA 15232
Physician Assistant (Medical)
5115 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Practitioner
5115 CENTRE AVE
PITTSBURGH, PA 15232
Physician Assistant (Medical)
5115 CENTRE AVE, 2ND FLOOR
PITTSBURGH, PA 15232
Internal Medicine
5115 CENTRE AVE
PITTSBURGH, PA 15232

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 David Wilson's NPI number?

The NPI number for David Wilson is 1043286123. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is David Wilson located?

David Wilson practices at 5115 Centre Ave Hillman Cance Center 2nd Floor, Pittsburgh, PA 15232. The listed phone number is (412) 687-3355.

What is David Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is David Wilson enrolled in Medicare?

Yes. David Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Wilson was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.