DR. KEVIN FORD WILSON DO
NPI 1386965812
Family Medicine in Punxsutawney, PA

Q: What is Kevin Wilson's NPI number?

The NPI number for Kevin Wilson is 1386965812. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Q: What is Kevin Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Wilson was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 18, 2010PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

21911 US-119, PUNXSUTAWNEY, PA 15767(814) 938-2602 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Kevin Ford Wilson Do NPPES

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

DR. KEVIN FORD WILSON DO (NPI 1386965812) is an individual family medicine provider in Punxsutawney, Pennsylvania, licensed in Pennsylvania (OS015964) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386965812

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KEVIN FORD WILSONCredential: DO

Location Address21911 US-119Punxsutawney, PA 15767

Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-4200 · Fax (814) 375-4232

Phone(814) 938-2602

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 18, 2010

Last NPPES UpdateNovember 5, 2021

NPPES CertifiedOctober 19, 2021

✔ NPI 1386965812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS015964

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

21911 US-119, Punxsutawney, PA 15767

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Secondary Practice Locations 2

Location 122 Industrial Park RdBrookville, PA 15825-7228 · Phone (814) 849-0990 · Fax (814) 849-0992

Location 2145 Hospital Ave Ste 315Du Bois, PA 15801-1465 · Phone (814) 503-4305 · Fax (814) 503-4307

Other Identifiers 1

OtherOS015964PA · Medical License

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

Dr. Kevin Ford Wilson Do 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 ID749678738

PECOS Enrollment IDI20211025000767

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

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

Brookville Hospital

17 mi

Multi-Specialty

88 HOSPITAL RD
Brookville, PA 15825

Reassigned Medicare billing, Pennsylvania enrollment
Also billed through NPI 1578733093 (Pennsylvania)
122 clinicians in this Medicare group

NPI 1629697925 (814) 849-2312

Dubois Regional Medical Center

17 mi

Family Medicine

100 HOSPITAL AVE
Du Bois, PA 15801

Reassigned Medicare billing, Pennsylvania enrollment
65 clinicians in this Medicare group

NPI 1245410554 (814) 375-4090

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 3

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.

35 services33 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.

22 services18 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

17 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390268

Location1800 East Park AveState College, PA 16803 · Centre County

Emergency services Birthing friendly

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391312

Location100 Hospital RoadBrookville, PA 15825 · Jefferson County

Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391315

Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15767 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

96.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

95.96

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$119.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kevin Wilson's NPI number?

The NPI number for Kevin Wilson is 1386965812. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Kevin Wilson located?

Kevin Wilson practices at 21911 Us-119, Punxsutawney, PA 15767. The listed phone number is (814) 938-2602.

What is Kevin Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Wilson enrolled in Medicare?

Yes. Kevin 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 Kevin Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Wilson reassigns Medicare benefits to 2 organizations: Brookville Hospital (Brookville, PA) and Dubois Regional Medical Center (Du Bois, 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 Kevin Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kevin 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 Kevin Wilson affiliated with any hospitals?

According to CMS data, Kevin Wilson is affiliated with Penn Highlands Dubois, Punxsutawney Area Hospital, Mount Nittany Medical Center, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Kevin Wilson was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.