SAMUEL W. WILKINSON MD
NPI 1083354179
Ophthalmology in Salt Lake City, UT
About Samuel W. Wilkinson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL W. WILKINSON MD (NPI 1083354179) is an individual ophthalmology provider in Salt Lake City, Utah, licensed in California (A208005) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of Utah School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Samuel W. Wilkinson 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Wilkinson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90067
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
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 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
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 Samuel Wilkinson's NPI number?
The NPI number for Samuel Wilkinson is 1083354179. It was assigned to this individual provider in the NPPES registry on March 29, 2022.
Where is Samuel Wilkinson located?
Samuel Wilkinson practices at 65 N Mario Capecchi, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.
What is Samuel Wilkinson's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Samuel Wilkinson enrolled in Medicare?
Yes. Samuel Wilkinson 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 organization bills Medicare for Samuel Wilkinson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wilkinson reassigns Medicare benefits to Advanced Vision Care A California General Partnership (Los Angeles, CA). The 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 Samuel Wilkinson'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 Samuel Wilkinson was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.
# Samuel W. Wilkinson, MD · NPI 1083354179
Ophthalmology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1083354179 (Entity type: Individual)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** A208005 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 N MARIO CAPECCHI, Salt Lake City, UT 84132-0002
- **Phone:** (801) 581-2121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advanced Vision Care A California General Partnership (NPI 1073816070, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** September 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083354179) · Data from the CMS NPPES public registry.