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DOUGLAS MARK WILSON OD
NPI 1235199126
Optometrist in Rutland, VT

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
71 ALLEN ST, STE 201, RUTLAND, VT 05701(802) 775-9355(802) 775-4577 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Mark Wilson Od NPPES

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

DOUGLAS MARK WILSON OD (NPI 1235199126) is an individual optometrist in Rutland, Vermont, licensed in Vermont (0300000152) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1972).

NPPES Registry Identity

NPI1235199126
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDOUGLAS MARK WILSONCredential: OD
Location Address71 ALLEN ST, STE 201Rutland, VT 05701
Mailing Address71 Allen St, Ste 201Rutland, VT 05701 · (802) 775-9355 · Fax (802) 775-4577
Phone(802) 775-9355
Fax(802) 775-4577
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1972
Enumeration DateMarch 24, 2006
Last NPPES UpdateSeptember 26, 2013
✔ NPI 1235199126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VT · 0300000152
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
71 ALLEN ST, Rutland, VT 05701
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Other Identifiers 3

MedicaidOVN0576VT
Medicare UPINU39368
Medicare ID-Type UnspecifiedDOVT6627VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

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

Douglas Mark Wilson Od 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 ID5890703888
PECOS Enrollment IDI20060403000436
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 7

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
355 services355 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.
240 services145 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
60 services56 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
53 services51 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
31 services31 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05701 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLEN POND DENTAL
Dentist (General Practice)
71 ALLEN ST, SUITE 301
RUTLAND, VT 05701
Rutland County (802) 775-0986
CHARLES ALEXANDER ULLMAN DMD, MDS
Dentist (Endodontics)
71 ALLEN ST, SUTIE 204
RUTLAND, VT 05701
Rutland County (802) 773-7767
DR. DAVID BENJAMIN TURNER M.D.
Family Medicine
71 ALLEN ST, SUITE 403
RUTLAND, VT 05701
Rutland County (802) 772-4414
RAYMOND J COOLEY D.C.
Chiropractor
71 ALLEN ST, SUITE 203
RUTLAND, VT 05701
Rutland County (802) 773-7700
MRS. REGINA CATHERINE SPRINGER PA-C
Physician Assistant (Medical)
71 ALLEN ST, SUITE 203
RUTLAND, VT 05701
Rutland County (802) 775-7798
LISA HARTMAN APRN
Nurse Practitioner (Psychiatric/Mental Health)
71 ALLEN ST
RUTLAND, VT 05701
Rutland County (802) 779-0571
SILVIA R TRIPLETT ARNP
Nurse Practitioner (Adult Health)
71 ALLEN ST, SUITE #403
RUTLAND, VT 05701
Rutland County (802) 772-7992
DR. PATRICK J. COOLEY D.C., P.T.
Chiropractor
71 ALLEN ST, SUITE 203
RUTLAND, VT 05701
Rutland County (802) 773-7700

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 Douglas Wilson's NPI number?

The NPI number for Douglas Wilson is 1235199126. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Douglas Wilson located?

Douglas Wilson practices at 71 Allen St Ste 201, Rutland, VT 05701. The listed phone number is (802) 775-9355.

What is Douglas Wilson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Douglas Wilson enrolled in Medicare?

Yes. Douglas 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.

What insurance does Douglas Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Douglas Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Wilson was last updated on September 26, 2013. 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.