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CARL THAYNE WILSON MD
NPI 1073608659
Anesthesiology in Provo, UT

Active since October 03, 2006PECOS Enrolled
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER, PROVO, UT 84604(801) 507-5248(801) 733-5618 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carl Thayne Wilson Md NPPES

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

CARL THAYNE WILSON MD (NPI 1073608659) is an individual anesthesiology provider in Provo, Utah, licensed in Utah (88-179937-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073608659
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameCARL THAYNE WILSONCredential: MD
Location Address1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTERProvo, UT 84604
Mailing Address3340 North Center St, #800Lehi, UT 84043-7406 · (801) 990-1911 · Fax (801) 990-1912
Phone(801) 507-5248
Fax(801) 733-5618
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 15, 2012
✔ NPI 1073608659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 88-179937-1205
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1034 NORTH 500 WEST, Provo, UT 84604
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Other Identifiers 17

Other2090168UT · United Healthcare
Other8597445UT · Workers Comp
Other870545614WI1UT · Educators Mutual
Medicare ID-Type Unspecified050041174UT · Railroad Medicare
Medicaid119214100WY
Medicaid768046AZ
Medicaid806095300ID
Other37038UT · Deseret Mutual
Other53282UT · Healthy U
Medicaid002089788NV
Other107005544101UT · Ihc
OtherTPRA07712UT · Molina
OtherQM0000075886UT · Altius
Other1502954UT · Umwa
Other37831UT · Pehp
Medicare UPINF02043UT
Medicare ID-Type Unspecified005532761UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl Thayne Wilson Md 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

2

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

Mountain West Anesthesia LLC
17 mi
Anesthesiology
3300 N TRIUMPH BLVD STE G50
Lehi, UT 84043
  • Reassigned Medicare billing, Utah enrollment
  • 355 clinicians in this Medicare group
NPI 1558391763 (801) 990-1911
Family Surgical Suite
28 mi
Ambulatory Surgical
8822 S REDWOOD RD, SUITE 113
West Jordan, UT 84088
  • Reassigned Medicare billing, Utah enrollment
  • 15 clinicians in this Medicare group
NPI 1508040221 (801) 495-1064

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

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.

JOHN B ZIMMERMAN MD
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Utah County (801) 507-5248
DAVID GROESBECK MD
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Utah County (801) 507-5248
MARK CRITCHFIELD MD
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Utah County (801) 507-5248
CRAIG P PATTEN MD
Emergency Medicine (Emergency Medical Services)
1034 NORTH 500 WEST
PROVO, UT 84604
Utah County (801) 373-7850
PHILIP D GROESBECK MD
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Utah County (801) 507-5248
BRANDON C DIAL MD
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Utah County (801) 507-5248
ALLEN C JOHNSON MD
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Utah County (801) 507-5248
BRUCE T TAYLOR MD
Emergency Medicine (Emergency Medical Services)
1034 NORTH 500 WEST
PROVO, UT 84604
Utah County (801) 373-7850

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 Carl Wilson's NPI number?

The NPI number for Carl Wilson is 1073608659. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Carl Wilson located?

Carl Wilson practices at 1034 North 500 West Utah Valley Regional Medical Center, Provo, UT 84604. The listed phone number is (801) 507-5248.

What is Carl Wilson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Carl Wilson enrolled in Medicare?

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

Which organizations bill Medicare for Carl Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Wilson reassigns Medicare benefits to 2 organizations: Mountain West Anesthesia LLC (Lehi, UT) and Family Surgical Suite (West Jordan, UT). 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 Carl Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carl Wilson was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.