JOSEPH BRIAN WILSON MD
NPI 1497915698
Orthopaedic Surgery in Durham, NC

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
120 WILLIAM PENN PLZ, DURHAM, NC 27704(919) 220-5255(919) 313-1276 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Brian Wilson Md NPPES

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

JOSEPH BRIAN WILSON MD (NPI 1497915698) is an individual orthopaedic surgery provider in Durham, North Carolina, licensed in North Carolina (2009-01994) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Maryland School Of Medicine (2000).

NPPES Registry Identity

NPI1497915698
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOSEPH BRIAN WILSONCredential: MD
Location Address120 WILLIAM PENN PLZDurham, NC 27704-2150
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255
Fax(919) 313-1276
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2000
Enumeration DateJune 11, 2008
Last NPPES UpdateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
NPI 1497915698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 2009-01994
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
120 WILLIAM PENN PLZ, Durham, NC 27704

Accepted 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

Joseph Brian Wilson Md 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 ID6406921295
PECOS Enrollment IDI20100125000632
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 16

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.
434 services255 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
211 services67 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.
206 services160 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.
93 services69 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
75 services67 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
39 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

North Carolina Specialty Hospital

Acute Care Hospitals · Durham, NC
OwnershipProprietary
CMS Certification Number340049
Location3916 Ben Franklin BoulevardDurham, NC 27704 · Durham County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Reported Quality Measures

e-Prescribing
99%1,332 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
88%885 patients4/55-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.

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.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
4 suppliers67 claims67 services$102.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Occupational Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physician Assistant
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Internal Medicine (Rheumatology)
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Physical Therapist
120 WILLIAM PENN PLZ
DURHAM, NC 27704
Orthopaedic Surgery
120 WILLIAM PENN PLZ
DURHAM, NC 27704

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 Joseph Wilson's NPI number?

The NPI number for Joseph Wilson is 1497915698. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Joseph Wilson located?

Joseph Wilson practices at 120 William Penn Plz, Durham, NC 27704. The listed phone number is (919) 220-5255.

What is Joseph Wilson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Joseph Wilson enrolled in Medicare?

Yes. Joseph 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 Joseph Wilson accept?

Health plans from Blue Cross and Blue Shield of NC list Joseph 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 Joseph Wilson affiliated with any hospitals?

According to CMS data, Joseph Wilson is affiliated with Duke University Hospital and North Carolina Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Wilson was last updated on February 17, 2022. 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.