MR. MICHAEL B WILCOX MD
NPI 1053391771
Ophthalmology in Ogden, UT

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4360 WASHINGTON BLVD, OGDEN, UT 84403(801) 476-0494(801) 476-0067 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael B Wilcox Md NPPES

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

MR. MICHAEL B WILCOX MD (NPI 1053391771) is an individual ophthalmology provider in Ogden, Utah, licensed in Utah (3637861205) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (1997).

NPPES Registry Identity

NPI1053391771
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. MICHAEL B WILCOXCredential: MD
Location Address4360 WASHINGTON BLVDOgden, UT 84403
Mailing Address4360 Washington BlvdOgden, UT 84403 · (801) 476-0494 · Fax (801) 476-0067
Fax(801) 476-0067
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1997
Enumeration DateJanuary 19, 2006
Last NPPES UpdateOctober 8, 2014
NPI 1053391771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in UT · 3637861205
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4360 WASHINGTON BLVD, Ogden, UT 84403

Other Identifiers 3

Medicare UPINH33986
Medicare OSCAR/certification005563908UT
Medicare OSCAR/certification005820402UT

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

Mr. Michael B Wilcox 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 ID9032180955
PECOS Enrollment IDI20040804000699
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 12

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
737 services667 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
575 services233 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
428 services258 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
198 services181 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.
162 services162 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.
146 services146 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 17

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

Ophthalmology
4360 WASHINGTON BLVD
OGDEN, UT 84403
Ophthalmology
4360 WASHINGTON BLVD, ATTN CREDENTIALING
OGDEN, UT 84403
Optometrist
4360 WASHINGTON BLVD
OGDEN, UT 84403
Ophthalmology
4360 WASHINGTON BLVD
OGDEN, UT 84403
Ophthalmology
4360 WASHINGTON BLVD
OGDEN, UT 84403
Ophthalmology
4360 WASHINGTON BLVD
OGDEN, UT 84403
Optometrist
4360 WASHINGTON BLVD
OGDEN, UT 84403
Ophthalmology
4360 WASHINGTON BLVD
OGDEN, UT 84403

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 Wilcox's NPI number?

The NPI number for Michael Wilcox is 1053391771. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Michael Wilcox located?

Michael Wilcox practices at 4360 Washington Blvd, Ogden, UT 84403. The listed phone number is (801) 476-0494.

What is Michael Wilcox's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Wilcox enrolled in Medicare?

Yes. Michael Wilcox 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 Wilcox accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Providence Health Plan and 3 other insurers list Michael Wilcox 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.

When was this NPI record last updated?

The NPPES record for Michael Wilcox was last updated on October 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.