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DR. THADDEUS EARL WILSON M.D.
NPI 1184839896
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Loma Linda, CA

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
11406 LOMA LINDA DR, PHYSICAL MEDICINE AND REHABILITATION, LOMA LINDA, CA 92354(909) 558-6275(909) 558-6212 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thaddeus Earl Wilson M.d. NPPES

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

DR. THADDEUS EARL WILSON M.D. (NPI 1184839896) is an individual pediatric rehabilitation medicine provider in Loma Linda, California, licensed in California (A102261) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2006).

NPPES Registry Identity

NPI1184839896
Entity TypeIndividualMale
Primary Taxonomy2081P0010X
Provider Legal NameDR. THADDEUS EARL WILSONCredential: M.D.
Location Address11406 LOMA LINDA DR, PHYSICAL MEDICINE AND REHABILITATIONLoma Linda, CA 92354-3711
Mailing Address11406 Loma Linda Drive, Physical Medicine And RehabilitationLoma Linda, CA 92354 · (909) 558-6275 · Fax (909) 558-6212
Phone(909) 558-6275
Fax(909) 558-6212
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2006
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 15, 2014
✔ NPI 1184839896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License✔ Licensed in CA · A102261
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
11406 LOMA LINDA DR, Loma Linda, CA 92354
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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

Dr. Thaddeus Earl 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 ID9133379084
PECOS Enrollment IDI20121030000495
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

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.
60 services30 patients

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Referred Medical Equipment & Supplies CMS DME claims 3

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

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.34 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier13 claims25 services$13.59 avg. paid by Medicare
Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system E1233
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$169.64 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.

MS. RANDI JEANNE WALKER OTRL, CHT
Occupational Therapist (Hand)
11406 LOMA LINDA DR, WEST ENTRANCE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6144
AMY KANGME PARK DO
Physical Medicine & Rehabilitation (Pain Medicine)
11406 LOMA LINDA DR
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6277
SCOTT STRUM M.D.
Physical Medicine & Rehabilitation
11406 LOMA LINDA DR, STE 300
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6277
MR. MINH Q. TRAN C.P.
Prosthetist
11406 LOMA LINDA DR, SUITE 407
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6272
MR. MICHAEL JAMES DAVIDSON
Orthotist
11406 LOMA LINDA DR
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000
RYAN CURTIS DOLINSKY PT
Physical Therapist (Orthopedic)
11406 LOMA LINDA DR
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6144
DAVIN YAH-MING CHU M.D.
Physical Medicine & Rehabilitation
11406 LOMA LINDA DR, SUITE 516
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000
DR. MICHAEL S WONG D.P.T.
Physical Therapist (Orthopedic)
11406 LOMA LINDA DR
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6144

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 Thaddeus Wilson's NPI number?

The NPI number for Thaddeus Wilson is 1184839896. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Thaddeus Wilson located?

Thaddeus Wilson practices at 11406 Loma Linda Dr Physical Medicine And Rehabilitation, Loma Linda, CA 92354. The listed phone number is (909) 558-6275.

What is Thaddeus Wilson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Thaddeus Wilson enrolled in Medicare?

Yes. Thaddeus 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.

When was this NPI record last updated?

The NPPES record for Thaddeus Wilson was last updated on August 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.