MATTHEW JAMES WILSON
NPI 1184158172
Emergency Medicine in Louisville, KY

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
91.54/100
CMS Quality Rating
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217(502) 634-6767 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2022, Apr 17, 2017 (2 updates tracked since 2017).

About Matthew James Wilson NPPES

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

MATTHEW JAMES WILSON (NPI 1184158172) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (56990) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of University Of Louisville School Of Medicine (2019).

NPPES Registry Identity

NPI1184158172
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW JAMES WILSON
Location Address1 AUDUBON PLAZA DRLouisville, KY 40217-1318
Mailing Address3 Audubon Plaza Dr Ste 340Louisville, KY 40217-1319 · (502) 634-6767
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2019
Enumeration DateApril 17, 2017
Last NPPES UpdateJune 17, 20222 updates tracked since enumeration
NPPES CertifiedJune 17, 2022
NPI 1184158172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in KY · 56990 Licensed in KY · TP727
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1 AUDUBON PLAZA DR, Louisville, KY 40217

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

Matthew James Wilson 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 ID9537494760
PECOS Enrollment IDI20220804001737
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
864 services829 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
594 services561 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
133 services131 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
131 services129 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.
59 services58 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.
48 services47 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

91.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.57
Improvement Activities40

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.

Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Registered Nurse (Administrator)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Anesthesiology
1 AUDUBON PLAZA DR, ATTN: RUBY POLTNER
LOUISVILLE, KY 40217
Physician Assistant
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Radiology (Diagnostic Radiology)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217

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 Matthew Wilson's NPI number?

The NPI number for Matthew Wilson is 1184158172. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Matthew Wilson located?

Matthew Wilson practices at 1 Audubon Plaza Dr, Louisville, KY 40217. The listed phone number is (502) 634-6767.

What is Matthew Wilson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Wilson enrolled in Medicare?

Yes. Matthew 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 Matthew Wilson affiliated with any hospitals?

According to CMS data, Matthew Wilson is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Matthew Wilson was last updated on June 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.