DR. KIM A WILSON MD
NPI 1124194006
Pediatrics in Jamaica Plain, MA

Q: What is Kim Wilson's NPI number?

The NPI number for Kim Wilson is 1124194006. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Q: What is Kim Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Wilson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 24, 2006PECOS Enrolled

75 BICKFORD ST, MARTHA ELIOT HEALTH CENTER, JAMAICA PLAIN, MA 02130(617) 971-2312 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Kim A Wilson Md NPPES

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

DR. KIM A WILSON MD (NPI 1124194006) is an individual pediatrics provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (76388) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124194006

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KIM A WILSONCredential: MD

Location Address75 BICKFORD ST, MARTHA ELIOT HEALTH CENTERJamaica Plain, MA 02130-1401

Mailing Address63 Claypit Hill RdWayland, MA 01778-2004 · (508) 358-7841

Phone(617) 971-2312

Sole ProprietorNo

Enumeration DateNovember 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124194006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MA · 76388

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

75 BICKFORD ST, Jamaica Plain, MA 02130

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Other Identifiers 3

Medicaid3150620MA

Medicare ID-Type UnspecifiedJ12762

Medicare UPINF33685

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim A 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02130 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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