1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Radiology
  6. NPI Profile

GLEN P WILSON M.D.
NPI 1285638999
Radiology - Diagnostic Radiology in Albuquerque, NM

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
4901 LANG AVE NE, ALBUQUERQUE, NM 87109(505) 842-8171(505) 857-3877 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2023, Jan 18, 2017 (2 updates tracked since 2017).

About Glen P Wilson M.d. NPPES

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

GLEN P WILSON M.D. (NPI 1285638999) is an individual diagnostic radiology provider in Albuquerque, New Mexico, licensed in New Mexico (2000-314) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Wayne State University School Of Medicine (1995).

NPPES Registry Identity

NPI1285638999
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGLEN P WILSONCredential: M.D.
Location Address4901 LANG AVE NEAlbuquerque, NM 87109-4495
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(505) 842-8171
Fax(505) 857-3877
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1995
Enumeration DateJune 9, 2005
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1285638999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NM · 2000-314
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4901 LANG AVE NE, Albuquerque, NM 87109
Open in Google Maps ↗

Other Identifiers 8

MedicaidL0634NM
Other600521002NM · Medicare Idtf
Other700521102NM · Medicare Group
Other2258272NM · Medicare Group
Medicaid45138NM
Medicaid52713NM
Medicaid66463NM
Other800521126NM · Medicare Idtf

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Glen P 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 ID7719946227
PECOS Enrollment IDI20041011000263
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 2

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
34 services32 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

TAMARA GOODMAN MD
Internal Medicine
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 842-8171
DANIELLE SANDERS
Nurse Practitioner
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 842-8171
DR. SCOTT STOERNER MD
Internal Medicine (Rheumatology)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 842-8171
SOFIA PALACIO CARDENAS M.D.
Internal Medicine (Hematology & Oncology)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 842-8171
DR. MARY DICARLO
Internal Medicine
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 842-8171
MRS. SAMANTHA FELDNER MARBURY PHARM D
Pharmacist
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 822-3911
LAURA E ONORATO PA
Physician Assistant
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 842-8171
SURGICAL SPECIALTY CARE, LLC
Clinic/Center (Ambulatory Surgical)
4901 LANG AVE NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 842-8171

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 Glen Wilson's NPI number?

The NPI number for Glen Wilson is 1285638999. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Glen Wilson located?

Glen Wilson practices at 4901 Lang Ave NE, Albuquerque, NM 87109. The listed phone number is (505) 842-8171.

What is Glen Wilson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Glen Wilson enrolled in Medicare?

Yes. Glen 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 Glen Wilson accept?

Health plans from Blue Cross and Blue Shield of Texas list Glen 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 Glen Wilson affiliated with any hospitals?

According to CMS data, Glen Wilson is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Glen Wilson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.