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KELSEY WILSON DO
NPI 1073051306
Internal Medicine in Wright Patterson Afb, OH

Active since February 07, 2017PECOS Enrolled
84.95/100
CMS Quality Rating
88 MDG/SGHJ, 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 257-9926 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2023, Jul 2, 2020, Feb 7, 2017 (3 updates tracked since 2017).

About Kelsey Wilson Do NPPES

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

KELSEY WILSON DO (NPI 1073051306) is an individual internal medicine provider in Wright Patterson Afb, Ohio, licensed in Ohio (34.014586) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1073051306
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKELSEY WILSONCredential: DO
Location Address88 MDG/SGHJ, 4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address88 Mdg/sghj, 4881 Sugar Maple DriveWrigth Patterson Afb, OH 45433 · (937) 257-9926
Phone(937) 257-9926
Sole ProprietorNo
Enumeration DateFebruary 7, 2017
Last NPPES UpdateJuly 26, 20233 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1073051306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34.014586
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
88 MDG/SGHJ, Wright Patterson Afb, OH 45433
Open in Google Maps ↗

Secondary Practice Location 1

Location 1128 E Apple St, 2nd FloorDayton, OH 45409-2902 · Phone (937) 257-9926

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Wilson Do 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kelsey Wilson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mvhe Inc
3.6 mi
Family Medicine
2180 GATEWAY DR
Fairborn, OH 45324
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1740233279 (937) 208-8155
Sinclair Physician Services, LLC
8.6 mi
Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
NPI 1063289601 (937) 208-8000
South Dayton Acute Care Consultants, Inc
12 mi
Internal Medicine
33 W RAHN RD
Dayton, OH 45429
  • Reassigned Medicare billing, Ohio enrollment
  • 102 clinicians in this Medicare group
NPI 1669442950 (937) 433-8990
Upper Valley Professional Corporation
15 mi
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
NPI 1407872518 (937) 440-7497
Hisey Physician Services, LLC
26 mi
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group
NPI 1073380614 (513) 974-2111

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 45433 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims12 services$14.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims25 services$63.66 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier20 claims20 services$180.05 avg. paid by Medicare
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds K0821
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$148.38 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.

DR. REID VERNON MD
Emergency Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH, OH 45433
Greene County (937) 656-3172
ISAAC BITTER PHYSICAL THERAPIST
Physical Therapist
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, AA 45433
Greene County (937) 257-8753
ERIC WINTHROP BARNES DO
Internal Medicine (Nephrology)
88 MDG/SGHJ, 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-2432
JOSEPH KLUESNER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-6529
CHRISTOPHER MAKOTO TSUEDA M.D.
Family Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 268-6511
DR. MARY THERESE BRUEGGEMEYER M.D.
Preventive Medicine (Aerospace Medicine)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-1558
THERESA ANNE BEDFORD FNP-BC
Nurse Practitioner (Family)
88 MDG/SGHJ, 4881 SUGAR MAPLE
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 713-9010
DR. DANIEL VERNON FOSTER MD
Internal Medicine (Pulmonary Disease)
88 MDG/SGHJ, 4881 SUGAR MAPLE DRIVE
WPAFB, OH 45433
Greene County (937) 257-1591

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 Kelsey Wilson's NPI number?

The NPI number for Kelsey Wilson is 1073051306. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Where is Kelsey Wilson located?

Kelsey Wilson practices at 88 Mdg/Sghj 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-9926.

What is Kelsey Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelsey Wilson enrolled in Medicare?

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

Which organizations bill Medicare for Kelsey Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Wilson reassigns Medicare benefits to 5 organizations: Mvhe Inc (Fairborn, OH), Sinclair Physician Services, LLC (Dayton, OH), South Dayton Acute Care Consultants, Inc (Dayton, OH), Upper Valley Professional Corporation (Troy, OH) and Hisey Physician Services, LLC (Middletown, OH). 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 Kelsey Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Wilson accept?

Health plans from CareSource list Kelsey 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 Kelsey Wilson was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.