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DAVID B WILSON M.D.
NPI 1386604072
Orthopaedic Surgery - Sports Medicine in Indiana, PA

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
120 IRMC DR, SUITE 160, INDIANA, PA 15701(724) 465-2676(724) 349-1830 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David B Wilson M.d. NPPES

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

DAVID B WILSON M.D. (NPI 1386604072) is an individual sports medicine provider in Indiana, Pennsylvania, licensed in Pennsylvania (MD065847L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (1992).

NPPES Registry Identity

NPI1386604072
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDAVID B WILSONCredential: M.D.
Location Address120 IRMC DR, SUITE 160Indiana, PA 15701-3674
Mailing Address640 Kolter DrIndiana, PA 15701-3570 · (724) 357-7333 · Fax (724) 465-0193
Phone(724) 465-2676
Fax(724) 349-1830
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1992
Enumeration DateMarch 25, 2006
Last NPPES UpdateOctober 1, 2019
✔ NPI 1386604072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in PA · MD065847L
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
120 IRMC DR, Indiana, PA 15701
Open in Google Maps ↗

Other Identifiers 2

OtherCI1160PA · Railroad Medicare
Medicaid0017454620003PA

Accepted Insurance

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

David B 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 ID749178325
PECOS Enrollment IDI20040305000713, I20050603000416
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

3

Medicare enrollment records show David Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Orthopaedic And Sports Medicine PC
Same address
Sports Medicine
120 IRMC DR, SUITE 160
Indiana, PA 15701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 14 clinicians in this Medicare group
NPI 1124088372 (724) 465-2676
Indiana Healthcare Physician Services, Inc
4.9 mi
Radiation Oncology
640 KOLTER DR
Indiana, PA 15701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 187 clinicians in this Medicare group
NPI 1417409186 (724) 357-7196
Ipg Ortho LLP
18 mi
Orthopaedic Surgery
120 IRMC DR STE 160
Indiana, PA 15701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 10 clinicians in this Medicare group
NPI 1952128670 (724) 465-2676

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 10

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.
98 services67 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
69 services40 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.
40 services33 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
33 services17 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
29 services20 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
29 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390199
Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County
Emergency services Birthing friendly

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,580 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
80%1,061 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
13%853 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%647 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%1,652 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
16%1,331 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 710 patients
Patients tobacco: 4% · 121 patients
77%710 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
52%1,652 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,652 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
12%1,652 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE PC
Orthopaedic Surgery (Sports Medicine)
120 IRMC DR, SUITE 160
INDIANA, PA 15701
Indiana County (724) 465-2676
RONALD BRANDON TRALE D.O.
Orthopaedic Surgery
120 IRMC DR, SUITE 160
INDIANA, PA 15701
Indiana County (724) 465-2676
HOWARD P MILLER DPM
Podiatrist
120 IRMC DR, SUITE160
INDIANA, PA 15701
Indiana County (724) 465-2676
CRAIG C MCKIRGAN D.O.
Orthopaedic Surgery (Sports Medicine)
120 IRMC DR, SUITE 160
INDIANA, PA 15701
Indiana County (724) 465-2676
DAVID T BIZOUSKY M.D.
Orthopaedic Surgery (Sports Medicine)
120 IRMC DR, SUITE160
INDIANA, PA 15701
Indiana County (724) 465-2676
PROF. BRUCE M ROTHSCHILD MD
Internal Medicine (Rheumatology)
120 IRMC DR, SUITE 100
INDIANA, PA 15701
Indiana County (724) 427-2762
MARIA MACKANICK MS
Speech-Language Pathologist
120 IRMC DR
INDIANA, PA 15701
Indiana County (724) 357-7068
DR. JONATHAN SCHOLL M.D.
Pain Medicine (Interventional Pain Medicine)
120 IRMC DR
INDIANA, PA 15701
Indiana County (724) 357-8135

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 1386604072. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is David Wilson located?

David Wilson practices at 120 Irmc Dr Suite 160, Indiana, PA 15701. The listed phone number is (724) 465-2676.

What is David Wilson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

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.

Which organizations bill Medicare for David Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Wilson reassigns Medicare benefits to 3 organizations: Center For Orthopaedic And Sports Medicine PC (Indiana, PA), Indiana Healthcare Physician Services, Inc (Indiana, PA) and Ipg Ortho LLP (Indiana, PA). 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 David Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan 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 Indiana Regional Medical Center and Punxsutawney Area Hospital.

When was this NPI record last updated?

The NPPES record for David Wilson was last updated on October 1, 2019. 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.