WILLIAM SCOTT WILKINSON M.D.
NPI 1124057690
Ophthalmology in Pontiac, MI

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
78.03/100
CMS Quality Rating
44555 WOODWARD AVE, SUITE 203, PONTIAC, MI 48341(248) 334-4931(248) 858-3993 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2022, Oct 17, 2022, May 28, 2020 (3 updates tracked since 2020).

About William Scott Wilkinson M.d. NPPES

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

WILLIAM SCOTT WILKINSON M.D. (NPI 1124057690) is an individual ophthalmology provider in Pontiac, Michigan, licensed in Michigan (4301406185) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1985).

NPPES Registry Identity

NPI1124057690
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameWILLIAM SCOTT WILKINSONCredential: M.D.
Location Address44555 WOODWARD AVE, SUITE 203Pontiac, MI 48341-5033
Mailing Address690 Kimberly StBirmingham, MI 48009-1117 · (248) 646-4082
Fax(248) 858-3993
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1985
Enumeration DateJune 30, 2006
Last NPPES UpdateNovember 1, 20223 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
NPI 1124057690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301406185
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
44555 WOODWARD AVE, Pontiac, MI 48341

Other Identifiers 4

Other4326472Aetna Pin
Medicaid4749812MI
Other1806316611MI · Bcbs Of Michigan Pin
Medicaid2584455MI

Accepted Insurance

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

William Scott Wilkinson 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 ID8527003771
PECOS Enrollment IDI20100820001088
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 15

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,040 services1,009 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
286 services224 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
276 services275 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
169 services162 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
131 services81 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
129 services129 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

78.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.47
Promoting Interoperability99
Improvement Activities40
Cost30.12

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%288 patients
Diabetes: Eye Exam
99%764 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
88%94 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,322 patients
Patients screened: 100% · 1,322 patients
87%45 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%203 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 3,281 patients
Patients totalRate: 0% · 3,281 patients
0%3,281 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Psychiatry & Neurology (Psychiatry)
44555 WOODWARD AVE, STE 405
PONTIAC, MI 48341
Anesthesiology
44555 WOODWARD AVE, SUITE 308
PONTIAC, MI 48341
Physical Therapist
44555 WOODWARD AVE, SUITE 080
PONTIAC, MI 48341
Thoracic Surgery (Cardiothoracic Vascular Surgery)
44555 WOODWARD AVE, SUITE 307
PONTIAC, MI 48341
Internal Medicine (Critical Care Medicine)
44555 WOODWARD AVE, SUITE 402
PONTIAC, MI 48341
Thoracic Surgery (Cardiothoracic Vascular Surgery)
44555 WOODWARD AVE, SUITE 307
PONTIAC, MI 48341
Plastic Surgery (Surgery of the Hand)
44555 WOODWARD AVE, STE 103
PONTIAC, MI 48341
Surgery
44555 WOODWARD AVE, SUITE 101
PONTIAC, MI 48341

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 William Wilkinson's NPI number?

The NPI number for William Wilkinson is 1124057690. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is William Wilkinson located?

William Wilkinson practices at 44555 Woodward Ave Suite 203, Pontiac, MI 48341. The listed phone number is (248) 334-4931.

What is William Wilkinson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is William Wilkinson enrolled in Medicare?

Yes. William 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.

What insurance does William Wilkinson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan list William Wilkinson 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 William Wilkinson was last updated on November 1, 2022. 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.