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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Thaddeus Wilson was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

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: October 18, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Thaddeus Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm

Same address

Pain Medicine

11406 LOMA LINDA DR, SUITE 300
Loma Linda, CA 92354

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1548210578 (909) 558-6277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

71.81

Promoting Interoperability

Improvement Activities

Cost

64.54

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.

Which organization bills Medicare for Thaddeus Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thaddeus Wilson reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thaddeus Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thaddeus Wilson was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.