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MARY KATHRYN WILSON O.D.
NPI 1396090163
Optometrist in Mobile, AL

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
79.02/100
CMS Quality Rating
601 PROVIDENCE PARK DR E, MOBILE, AL 36695(251) 650-2020(251) 650-1010 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2023, Dec 22, 2021, Nov 9, 2021 (3 updates tracked since 2021).

About Mary Kathryn Wilson O.d. NPPES

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

MARY KATHRYN WILSON O.D. (NPI 1396090163) is an individual optometrist in Mobile, Alabama, licensed in Alabama (R-304-TA-C25) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Southern College Of Optometry (2012).

NPPES Registry Identity

NPI1396090163
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARY KATHRYN WILSONCredential: O.D.
Location Address601 PROVIDENCE PARK DR EMobile, AL 36695-4617
Mailing Address601 Providence Park Dr EMobile, AL 36695-4617 · (251) 650-2020 · Fax (251) 650-1010
Phone(251) 650-2020
Fax(251) 650-1010
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2012
Enumeration DateJuly 18, 2012
Last NPPES UpdateFebruary 1, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1396090163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AL · R-304-TA-C25
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
601 PROVIDENCE PARK DR E, Mobile, AL 36695
Open in Google Maps ↗

Secondary Practice Locations 2

Location 127961 US Highway 98 Ste 11Daphne, AL 36526-4725 · Phone (251) 928-1941 · Fax (251) 650-1010
Location 2578 Stanton RdMobile, AL 36617-2324 · Phone (251) 650-2020 · Fax (251) 650-1010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

Mary Kathryn Wilson O.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 ID143478172
PECOS Enrollment IDI20211122000800
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 8

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 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.
99 services98 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.
65 services58 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
41 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
27 services26 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36695 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

79.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability90
Improvement Activities40
Cost38.4

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%141 patients5/55-star benchmark: 100%
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 10

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

JEFFREY ST. JOHN
Ophthalmology
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Mobile County (251) 650-2020
VIP OPTICAL LLC
Eyewear Supplier
601 PROVIDENCE PARK DR E, SUITE O
MOBILE, AL 36695
Mobile County (251) 650-2000
SAUNDERS L HUPP MD
Ophthalmology
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Mobile County (251) 650-1000
VISION PARTNERS LLC
Ophthalmology
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Mobile County (251) 650-2020
KIMBERLY PENIX LAAN O.D.
Optometrist
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Mobile County (251) 650-2020
KRISTIN MARIE ATES HICKS MD, PHD
Ophthalmology
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Mobile County (251) 990-3937
JOSEPH HARE SUGG JR. MD
Ophthalmology
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Mobile County (251) 990-3937
YAFFA K WEAVER MD
Ophthalmology (Glaucoma Specialist)
601 PROVIDENCE PARK DR E
MOBILE, AL 36695
Mobile County (251) 650-1000

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 Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1396090163. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Mary Wilson located?

Mary Wilson practices at 601 Providence Park Dr E, Mobile, AL 36695. The listed phone number is (251) 650-2020.

What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mary Wilson enrolled in Medicare?

Yes. Mary 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 Mary Wilson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 10 other insurers list Mary 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.

When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on February 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.