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DR. BRUCE EDWARD WILSON M.D.
NPI 1295826857
Internal Medicine - Endocrinology, Diabetes & Metabolism in Richland, WA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
20.18/100
CMS Quality Rating
925 STEVENS DR STE 2E, RICHLAND, WA 99352(509) 940-9052(590) 940-9054 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bruce Edward Wilson M.d. NPPES

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

DR. BRUCE EDWARD WILSON M.D. (NPI 1295826857) is an individual endocrinology, diabetes & metabolism provider in Richland, Washington, licensed in Washington (MD00023055) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Good Shepherd Medical Center, and is a graduate of University Of Washington School Of Medicine (1991).

NPPES Registry Identity

NPI1295826857
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. BRUCE EDWARD WILSONCredential: M.D.
Location Address925 STEVENS DR STE 2ERichland, WA 99352-3523
Mailing Address925 Stevens Dr Ste 2eRichland, WA 99352-3523 · (509) 940-9052 · Fax (590) 542-8095
Phone(509) 940-9052
Fax(590) 940-9054
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1991
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJanuary 27, 2020
✔ NPI 1295826857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in WA · MD00023055✔ Licensed in WA · 0023055
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
925 STEVENS DR STE 2E, Richland, WA 99352
Open in Google Maps ↗

Other Identifiers 2

Medicaid121374WA
Other0023055WA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Bruce Edward 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 ID3476732959
PECOS Enrollment IDI20110131000272
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 5

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 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.
747 services449 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.
455 services301 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
243 services135 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Good Shepherd Medical Center

Critical Access Hospitals · Hermiston, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381325
Location610 NW 11th StreetHermiston, OR 97838 · Umatilla County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501312
Location723 Memorial StreetProsser, WA 99350 · Benton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

20.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost67.29

Referred Medical Equipment & Supplies CMS DME claims 11

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
14 suppliers220 claims2,712 services$17.62 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
14 suppliers208 claims6,599 services$2.32 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers114 claims114 services$169.02 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
41 suppliers280 claims1,240 services$6.18 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers15 claims15 services$2.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers48 claims91 services$1.11 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

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

LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
925 STEVENS DR STE 2E
RICHLAND, WA 99352
Benton County (509) 946-4766

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 Bruce Wilson's NPI number?

The NPI number for Bruce Wilson is 1295826857. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Bruce Wilson located?

Bruce Wilson practices at 925 Stevens Dr Ste 2E, Richland, WA 99352. The listed phone number is (509) 940-9052.

What is Bruce Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Bruce Wilson enrolled in Medicare?

Yes. Bruce 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 Bruce Wilson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Bruce 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 Bruce Wilson affiliated with any hospitals?

According to CMS data, Bruce Wilson is affiliated with Good Shepherd Medical Center, Kadlec Regional Medical Center and Prosser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bruce Wilson was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.