DAVID EDWARD WILSON
NPI 1235733890
Nurse Practitioner - Family in Cincinnati, OH

Active since November 24, 2020PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
234 GOODMAN ST, CINCINNATI, OH 45219(513) 584-8181 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About David Edward Wilson NPPES

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

DAVID EDWARD WILSON (NPI 1235733890) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.0027256) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235733890
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDAVID EDWARD WILSON
Location Address234 GOODMAN STCincinnati, OH 45219-2364
Mailing Address42 Alpine DrFort Thomas, KY 41075-2402 · (859) 462-2058
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
NPI 1235733890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.0027256
234 GOODMAN ST, Cincinnati, OH 45219

Accepted 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

David Edward 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 ID7012328586
PECOS Enrollment IDI20201204002260
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 3

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.

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.
82 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
75 services49 patients
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.
67 services52 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Advanced Practice Midwife
234 GOODMAN ST
CINCINNATI, OH 45219
Internal Medicine (Cardiovascular Disease)
234 GOODMAN ST
CINCINNATI, OH 45219
Emergency Medicine
234 GOODMAN ST
CINCINNATI, OH 45219
Surgery (Trauma Surgery)
234 GOODMAN ST
CINCINNATI, OH 45219
Surgery (Trauma Surgery)
234 GOODMAN ST
CINCINNATI, OH 45219
Internal Medicine (Medical Oncology)
234 GOODMAN ST, BARRETT CENTER
CINCINNATI, OH 45219
Internal Medicine (Medical Oncology)
234 GOODMAN ST, BARRETT CENTER
CINCINNATI, OH 45219
Pathology (Anatomic Pathology & Clinical Pathology)
234 GOODMAN ST
CINCINNATI, OH 45219

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 David Wilson's NPI number?

The NPI number for David Wilson is 1235733890. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is David Wilson located?

David Wilson practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 584-8181.

What is David Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is David Wilson enrolled in Medicare?

Yes. David 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 David Wilson accept?

Health plans from CareSource, Molina Healthcare and Oscar Health Insurance list David 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.

Is David Wilson affiliated with any hospitals?

According to CMS data, David Wilson is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for David Wilson was last updated on November 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.