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DR. THOMAS A WILSON M.D.
NPI 1063454080
Pediatrics - Pediatric Endocrinology in San Luis Obispo, CA

Active since June 12, 2006PECOS Enrolled
1010 MURRAY AVE, SAN LUIS OBISPO, CA 93405(805) 546-7692(805) 546-7932 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas A Wilson M.d. NPPES

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

DR. THOMAS A WILSON M.D. (NPI 1063454080) is an individual pediatric endocrinology provider in San Luis Obispo, California, licensed in California (G30444) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1063454080
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameDR. THOMAS A WILSONCredential: M.D.
Location Address1010 MURRAY AVESan Luis Obispo, CA 93405-1806
Mailing AddressPo Box 16012San Luis Obispo, CA 93406-6012
Phone(805) 546-7692
Fax(805) 546-7932
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1063454080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Licenses✔ Licensed in CA · G30444✔ Licensed in NY · 151531
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
1010 MURRAY AVE, San Luis Obispo, CA 93405
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Secondary Practice Location 1

Location 1Stony Brook University HospitalStony Brook, NY 11794-0001 · Phone (631) 444-3429 · Fax (631) 444-6045

Other Identifiers 3

Other4249553NY · Aetna
Medicaid00725544NY
Other79A002NY · Empire Bc.bs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas A Wilson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93405 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

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.

DR. CURBY DIRK JENKINS DO
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731
GALEN INPATIENT PHYSICIANS PC
Hospitalist
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7600
KATERYNA RICE RN
Student in an Organized Health Care Education/Training Program
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7736
PAUL J WOLFROM DO
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731
LISA RANDOLPH
Nurse Practitioner (Family)
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7600
DR. MATTHEW JAMES BARRY DO
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731
SEAN ANDREWS
Emergency Medicine
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7600
DR. KANG TSAU MD
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731

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 Thomas Wilson's NPI number?

The NPI number for Thomas Wilson is 1063454080. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Thomas Wilson located?

Thomas Wilson practices at 1010 Murray Ave, San Luis Obispo, CA 93405. The listed phone number is (805) 546-7692.

What is Thomas Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Thomas Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Wilson was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.