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DR. JOHN H WILSON M.D.
NPI 1467443531
Internal Medicine - Clinical Cardiac Electrophysiology in Cincinnati, OH

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10506A MONTGOMERY RD, STE 301, CINCINNATI, OH 45242(513) 246-2400 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John H Wilson M.d. NPPES

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

DR. JOHN H WILSON M.D. (NPI 1467443531) is an individual clinical cardiac electrophysiology provider in Cincinnati, Ohio, licensed in Ohio (35-046814) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Medical College Of Ohio (1980).

NPPES Registry Identity

NPI1467443531
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. JOHN H WILSONCredential: M.D.
Location Address10506A MONTGOMERY RD, STE 301Cincinnati, OH 45242-4400
Mailing Address10506a Montgomery Rd, Ste 301Cincinnati, OH 45242-4400 · (513) 246-2400
Phone(513) 246-2400
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1980
Enumeration DateOctober 28, 2005
Last NPPES UpdateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
✔ NPI 1467443531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in OH · 35-046814
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedSpecialistTaxonomy 174400000X · License 35-046814 (OH)
10506A MONTGOMERY RD, Cincinnati, OH 45242
Open in Google Maps ↗

Other Identifiers 2

Medicaid0666908OH
Other60019593OH · Railroad Medicare

Accepted Insurance

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

Dr. John H 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 ID3476451097
PECOS Enrollment IDI20100623000008
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.

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
2%410 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
55%410 patients3/55-star benchmark: 100%
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…
27%422 patients2/55-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 20

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

KAREN NELTNER MMSC
Genetic Counselor, MS
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-5925
JOHN M MASHNY MD
Internal Medicine (Cardiovascular Disease)
10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242
Hamilton County (513) 246-2400
MELISSA LOUIS JAUN PA-C
Physician Assistant
10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242
Hamilton County (513) 246-2400
SHIRIN BIGDELIAZARI
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (859) 285-7221
ALEXANDER NIEHAUS PHARMD
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 246-7016
DR. SAULIUS K GIRNIUS
Internal Medicine (Hematology & Oncology)
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 853-1300
MRS. LEAH KAY ABATE MS, CGC
Genetic Counselor, MS
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-5929
JOSEPH DARBY KIRKPATRICK BENNETT PHARMD
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 246-7016

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 John Wilson's NPI number?

The NPI number for John Wilson is 1467443531. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is John Wilson located?

John Wilson practices at 10506A Montgomery Rd Ste 301, Cincinnati, OH 45242. The listed phone number is (513) 246-2400.

What is John Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is John Wilson enrolled in Medicare?

Yes. John 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 John Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list John 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 John Wilson affiliated with any hospitals?

According to CMS data, John Wilson is affiliated with Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for John Wilson was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.