SENETTA WILSON M.D.
NPI 1114333978
Family Medicine in Chicago, IL

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment
76.2/100
CMS Quality Rating
7531 S STONY ISLAND AVE, CHICAGO, IL 60649(773) 947-7500 Get Directions Write a Review

NPPES record last updated: October 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Senetta Wilson M.d. NPPES

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

SENETTA WILSON M.D. (NPI 1114333978) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125065945) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Alexian Brothers Medical Center 1, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114333978
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSENETTA WILSONCredential: M.D.
Location Address7531 S STONY ISLAND AVEChicago, IL 60649-3954
Mailing Address7531 S Stony Island AveChicago, IL 60649-3954 · (773) 947-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 1, 2014
Last NPPES UpdateOctober 11, 2014
NPI 1114333978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 125065945
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.

7531 S STONY ISLAND AVE, Chicago, IL 60649

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Senetta Wilson M.d. 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 ID1355612706
PECOS Enrollment IDI20170803003152
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
480 services150 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
460 services137 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
169 services142 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
81 services79 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
26 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60649 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost94.69

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$17.04 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.

Family Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649
Internal Medicine (Nephrology)
7531 S STONY ISLAND AVE, SUITE 158 & 160
CHICAGO, IL 60649
General Practice
7531 S STONY ISLAND AVE, SUITE 178
CHICAGO, IL 60649
Family Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649
Family Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649
Family Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649
Family Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649
Emergency Medicine
7531 S STONY ISLAND AVE
CHICAGO, IL 60649

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 Senetta Wilson's NPI number?

The NPI number for Senetta Wilson is 1114333978. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Senetta Wilson located?

Senetta Wilson practices at 7531 S Stony Island Ave, Chicago, IL 60649. The listed phone number is (773) 947-7500.

What is Senetta Wilson's specialty?

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

Is Senetta Wilson enrolled in Medicare?

Yes. Senetta 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.

Is Senetta Wilson affiliated with any hospitals?

According to CMS data, Senetta Wilson is affiliated with Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Senetta Wilson was last updated on October 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.