MARTY C WILSON PA-C
NPI 1184045338
Physician Assistant - Surgical in Springfield, IL

Active since December 13, 2013PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711(217) 547-9100(217) 547-9236 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marty C Wilson Pa-c NPPES

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

MARTY C WILSON PA-C (NPI 1184045338) is an individual surgical provider in Springfield, Illinois, licensed in Illinois (085004959) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184045338
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMARTY C WILSONCredential: PA-C
Location Address1301 S KOKE MILL RDSpringfield, IL 62711-9252
Mailing Address1301 S Koke Mill RdSpringfield, IL 62711-9252 · (217) 547-9100 · Fax (217) 547-9236
Fax(217) 547-9236
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 13, 2013
Last NPPES UpdateApril 13, 2020
NPPES CertifiedApril 13, 2020
NPI 1184045338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IL · 085004959
1301 S KOKE MILL RD, Springfield, IL 62711

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

Marty C Wilson Pa-c 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 ID2769611409
PECOS Enrollment IDI20140129001340
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
816 services62 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
244 services164 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
231 services197 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
135 services105 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
102 services65 patients
X-ray of thigh bone, 1 view 73551
An X-ray of the thigh bone, 1 view, is a quick, painless procedure that uses a small amount of radiation to create images of the inside of your thigh. It helps doctors to diagnose and monitor conditions like fractures, infections, or tumors.
65 services63 patients

Hospital Affiliations CMS Care Compare 2

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

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.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.39
Improvement Activities40
Cost74.72

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%21 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%21 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
77%276 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
66%308 patients3/55-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.

Neurological Surgery
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Physical Medicine & Rehabilitation (Pain Medicine)
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Physical Therapist
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Neurological Surgery
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Physical Therapist
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Occupational Therapist
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Podiatrist (Foot & Ankle Surgery)
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Registered Nurse (Registered Nurse First Assistant)
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711

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 Marty Wilson's NPI number?

The NPI number for Marty Wilson is 1184045338. It was assigned to this individual provider in the NPPES registry on December 13, 2013.

Where is Marty Wilson located?

Marty Wilson practices at 1301 S Koke Mill Rd, Springfield, IL 62711. The listed phone number is (217) 547-9100.

What is Marty Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Marty Wilson enrolled in Medicare?

Yes. Marty 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 Marty Wilson affiliated with any hospitals?

According to CMS data, Marty Wilson is affiliated with St Johns Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Marty Wilson was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.