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MARK MATTHEW WILSON M.D.
NPI 1295728087
Internal Medicine - Nephrology in Alexandria, LA

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
30.8/100
CMS Quality Rating
1337 CENTRE CT, ALEXANDRIA, LA 71301(318) 445-9331(318) 619-6899 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Matthew Wilson M.d. NPPES

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

MARK MATTHEW WILSON M.D. (NPI 1295728087) is an individual nephrology provider in Alexandria, Louisiana, licensed in Louisiana (019488) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Christus St Frances Cabrini Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1987).

NPPES Registry Identity

NPI1295728087
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMARK MATTHEW WILSONCredential: M.D.
Location Address1337 CENTRE CTAlexandria, LA 71301
Mailing Address1337 Centre CtAlexandria, LA 71301-3405 · (318) 445-9331 · Fax (318) 619-6899
Phone(318) 445-9331
Fax(318) 619-6899
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1987
Enumeration DateAugust 26, 2005
Last NPPES UpdateAugust 27, 2018
✔ NPI 1295728087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in LA · 019488
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1337 CENTRE CT, Alexandria, LA 71301
Open in Google Maps ↗

Other Identifiers 1

Medicaid1934780LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana 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

Mark Matthew 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 ID3577651025
PECOS Enrollment IDI20100322000841
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 13

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.
1,597 services443 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.
414 services275 patients
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.
216 services204 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
206 services91 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
204 services53 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.
184 services110 patients

Hospital Affiliations CMS Care Compare 5

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

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190019
Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Rapides Regional Medical Center

Acute Care Hospitals · Alexandria, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190026
Location211 4th StreetAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Avoyelles Hospital

Acute Care Hospitals · Marksville, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190099
Location4231 Highway 1192Marksville, LA 71351 · Avoyelles County
Emergency services

Byrd Regional Hospital

Acute Care Hospitals · Leesville, LA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number190164
Location1020 Fertitta BlvdLeesville, LA 71446 · Vernon County
Emergency services Birthing friendly

Hardtner Medical Center

Critical Access Hospitals · Olla, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191315
Location1102 N Pine RoadOlla, LA 71465 · Lasalle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71301 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

30.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability86
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers21 claims2,220 services$0.32 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims3,600 services$0.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers19 claims19 services$18.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers28 claims28 services$12.62 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 2

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

ANN HODNETT ROGERS A.P.R.N.,B.C.
Nurse Practitioner
1337 CENTRE CT
ALEXANDRIA, LA 71301
Rapides Parish (318) 445-9331
MARY HIRCHAK GARCIA A.P.R.N.,B.C.
Nurse Practitioner
1337 CENTRE CT
ALEXANDRIA, LA 71301
Rapides Parish (318) 445-9331

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 Mark Wilson's NPI number?

The NPI number for Mark Wilson is 1295728087. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Mark Wilson located?

Mark Wilson practices at 1337 Centre Ct, Alexandria, LA 71301. The listed phone number is (318) 445-9331.

What is Mark Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mark Wilson enrolled in Medicare?

Yes. Mark 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 Mark Wilson accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana and UnitedHealthcare list Mark 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 Mark Wilson affiliated with any hospitals?

According to CMS data, Mark Wilson is affiliated with Christus St Frances Cabrini Hospital, Rapides Regional Medical Center, Avoyelles Hospital, Byrd Regional Hospital and Hardtner Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Wilson was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.