DR. DAVID RUSSELL WILSON OD
NPI 1407931629
Optometrist in Carlisle, PA
About Dr. David Russell Wilson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID RUSSELL WILSON OD (NPI 1407931629) is an individual optometrist in Carlisle, Pennsylvania, licensed in Pennsylvania (OEG001476) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted 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. David Russell Wilson Od 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.
Medicare Billing Reassignments
3Medicare 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.
Carlisle, PA 17013
- Reassigned Medicare billing, Pennsylvania enrollment
- 262 clinicians in this Medicare group
Thurmont, MD 21788
- Reassigned Medicare billing, Maryland enrollment
- 253 clinicians in this Medicare group
Leesburg, VA 20176
- Reassigned Medicare billing, Virginia enrollment
- 337 clinicians in this Medicare group
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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 1407931629. It was assigned to this individual provider in the NPPES registry on October 26, 2006.
Where is David Wilson located?
David Wilson practices at 650 E High St Ste 652, Carlisle, PA 17013. The listed phone number is (717) 258-4422.
What is David Wilson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
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: Myeyedr Optometry Of Pennsylvania, LLC (Carlisle, PA), Myeyedr Optometry Of Maryland, LLC (Thurmont, MD) and Myeyedr Optometry Of Virginia, PLLC (Leesburg, VA). 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 Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers 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.
When was this NPI record last updated?
The NPPES record for David Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. David Russell Wilson, OD · NPI 1407931629
Optometrist provider in Carlisle, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1407931629 (Entity type: Individual)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OEG001476 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 E HIGH ST, STE 652, Carlisle, PA 17013
- **Phone:** (717) 258-4422 · **Fax:** (717) 258-4245
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Myeyedr Optometry Of Pennsylvania, LLC (NPI 1659720753, Carlisle, PA); Myeyedr Optometry Of Maryland, LLC (NPI 1134585235, Thurmont, MD); Myeyedr Optometry Of Virginia, PLLC (NPI 1144678988, Leesburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 083513P3E (PA); Medicare UPIN V00737; Other WI1634058 (PA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1407931629) · Data from the CMS NPPES public registry.