DR. ALAN EDWARD WILSON JR. MD
NPI 1053800490
Orthopaedic Surgery in Monroeville, PA

Active since May 01, 2018PECOS EnrolledAccepts Medicare Assignment
92.09/100
CMS Quality Rating
600 OXFORD DR STE 200, MONROEVILLE, PA 15146(412) 687-3900 Get Directions Write a Review

NPPES record last updated: September 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2024, Aug 21, 2024, May 1, 2018 (3 updates tracked since 2018).

About Dr. Alan Edward Wilson Jr. Md NPPES

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

DR. ALAN EDWARD WILSON JR. MD (NPI 1053800490) is an individual orthopaedic surgery provider in Monroeville, Pennsylvania, licensed in Pennsylvania (MD472832) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of University Of Pittsburgh School Of Medicine (2018).

NPPES Registry Identity

NPI1053800490
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ALAN EDWARD WILSON JR.Credential: MD
Location Address600 OXFORD DR STE 200Monroeville, PA 15146-2355
Mailing Address3471 5th Ave Ste 911Pittsburgh, PA 15213-3232 · (412) 687-3900
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2018
Enumeration DateMay 1, 2018
Last NPPES UpdateSeptember 8, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2024
NPI 1053800490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in PA · MD472832 Licensed in NJ · 25MA11731200
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.
600 OXFORD DR STE 200, Monroeville, PA 15146

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. Alan Edward Wilson Jr. 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 ID4688929086
PECOS Enrollment IDI20230714000170, I20230714000335
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 5

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
38 services38 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.
21 services15 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.
21 services21 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
19 services19 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

92.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Promoting Interoperability99
Improvement Activities40
Cost87.88

Other Providers at the Same Location NPPES 4

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

Podiatrist (Foot & Ankle Surgery)
600 OXFORD DR STE 200
MONROEVILLE, PA 15146
Physician Assistant
600 OXFORD DR STE 200
MONROEVILLE, PA 15146
Physician Assistant
600 OXFORD DR STE 200
MONROEVILLE, PA 15146
Physician Assistant
600 OXFORD DR STE 200
MONROEVILLE, PA 15146

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 Alan Wilson's NPI number?

The NPI number for Alan Wilson is 1053800490. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Alan Wilson located?

Alan Wilson practices at 600 Oxford Dr Ste 200, Monroeville, PA 15146. The listed phone number is (412) 687-3900.

What is Alan Wilson's specialty?

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

Is Alan Wilson enrolled in Medicare?

Yes. Alan 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 Alan Wilson affiliated with any hospitals?

According to CMS data, Alan Wilson is affiliated with Upmc St Margaret, Upmc Passavant, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Alan Wilson was last updated on September 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.