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DENISE WILSON O.D.
NPI 1275611758
Optometrist in Novi, MI

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
27300 WIXOM RD, NOVI, MI 48374(248) 349-6379 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2020, May 3, 2019 (2 updates tracked since 2019).

About Denise Wilson O.d. NPPES

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

DENISE WILSON O.D. (NPI 1275611758) is an individual optometrist in Novi, Michigan, licensed in Michigan (4901002778) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1979).

NPPES Registry Identity

NPI1275611758
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDENISE WILSONCredential: O.D.
Location Address27300 WIXOM RDNovi, MI 48374-1120
Mailing Address49676 Timber TrlNovi, MI 48374-2162 · (248) 505-3214 · Fax (248) 349-3874
Phone(248) 349-6379
Sole ProprietorYes
Medical School CMSFerris State College - College Of OptometryGraduated 1979
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1275611758 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 MI · 4901002778
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.
27300 WIXOM RD, Novi, MI 48374
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Denise Wilson O.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 ID6608054341
PECOS Enrollment IDI20110628000098
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 Reassignments

2

Medicare enrollment records show Denise Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dw Consulting LLC
11 mi
Optometrist
932 TROON
Highland, MI 48357
  • Reassigned Medicare billing, Michigan enrollment
NPI 1144579368 (248) 505-3214
Cripe Holdings LLC
15 mi
Optician
1794 N OLD US 23
Howell, MI 48843
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1487462529 (810) 632-7444

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 4

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.

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.
35 services28 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
24 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 3

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

MRS. CINDY LYNN MEW HEARING SPECIALIST
Specialist/Technologist
27300 WIXOM RD
NOVI, MI 48374
Oakland County (248) 675-1026
MS. DEBRA K WONG RPH
Pharmacist
27300 WIXOM RD
NOVI, MI 48374
Oakland County (248) 349-6043
SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
27300 WIXOM RD
NOVI, MI 48374
Oakland County (248) 349-6043

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 Denise Wilson's NPI number?

The NPI number for Denise Wilson is 1275611758. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Denise Wilson located?

Denise Wilson practices at 27300 Wixom Rd, Novi, MI 48374. The listed phone number is (248) 349-6379.

What is Denise Wilson's specialty?

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

Is Denise Wilson enrolled in Medicare?

Yes. Denise 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 organizations bill Medicare for Denise Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Wilson reassigns Medicare benefits to 2 organizations: Dw Consulting LLC (Highland, MI) and Cripe Holdings LLC (Howell, MI). Each 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 Denise Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 15 other insurers list Denise 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 Denise Wilson was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.