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MICHAEL W WILSON DO
NPI 1063491801
Family Medicine in Oklahoma City, OK

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
11601 S WESTERN AVE, OKLAHOMA CITY, OK 73170(405) 691-5208(405) 378-0556 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael W Wilson Do NPPES

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

MICHAEL W WILSON DO (NPI 1063491801) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (3890) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1063491801
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL W WILSONCredential: DO
Location Address11601 S WESTERN AVEOklahoma City, OK 73170-5823
Mailing Address2777 Nw 222nd StEdmond, OK 73025-9087 · (405) 659-7114
Phone(405) 691-5208
Fax(405) 378-0556
Sole ProprietorYes
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2000
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJanuary 25, 2016
✔ NPI 1063491801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 3890
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11601 S WESTERN AVE, Oklahoma City, OK 73170
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Other Identifiers 2

Medicare UPINH80634OK
Medicare ID-Type Unspecified241416713OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael W Wilson Do 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 ID42294340
PECOS Enrollment IDI20040615000869
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medok Mustang, LLC
13 mi
Urgent Care
1616 S MUSTANG RD
Yukon, OK 73099
  • Reassigned Medicare billing, Oklahoma enrollment
  • 12 clinicians in this Medicare group
NPI 1831553817 (405) 256-0501
Medical Resource Management, LLC
20 mi
Urgent Care
16205 N PENNSYLVANIA AVE
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 171 clinicians in this Medicare group
NPI 1104056365 (405) 705-5700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73170 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 12

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

BRENT D CHANDLER DO
Family Medicine
11601 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Cleveland County (405) 691-5208
LENARD B PHILLIPS DO
Family Medicine
11601 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Cleveland County (405) 691-5208
OKLAHOMA CLINICAL ASSOCIATES LLC
Family Medicine
11601 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Cleveland County (405) 691-5208
THOMAS NNAMDI UZUEGBUNEM
Nurse Practitioner (Family)
11601 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Cleveland County (405) 691-5208
BRUCE D CORNETT DO
Family Medicine
11601 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Cleveland County (405) 691-5208
DARRIN L WEBSTER DO
Family Medicine
11601 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Cleveland County (405) 691-5208
OCA 1 LLC
Family Medicine
11601 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Cleveland County (405) 691-5208
SRIVIDHYA MURALIDHARAN P.A.
Physician Assistant
11601 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Cleveland County (405) 691-5208

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 1063491801. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Michael Wilson located?

Michael Wilson practices at 11601 S Western Ave, Oklahoma City, OK 73170. The listed phone number is (405) 691-5208.

What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.

Which organizations bill Medicare for Michael Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wilson reassigns Medicare benefits to 2 organizations: Medok Mustang, LLC (Yukon, OK) and Medical Resource Management, LLC (Edmond, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Wilson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma 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.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.