KRISTAL LEE ANN WILSON MD
NPI 1578853602
Pain Medicine - Interventional Pain Medicine in Louisville, KY

Active since April 11, 2011PECOS EnrolledAccepts Medicare Assignment
45.03/100
CMS Quality Rating
10302 BROOKRIDGE VILLAGE BLVD STE 103-104, LOUISVILLE, KY 40291(502) 276-5300(502) 576-5376 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Feb 24, 2021, Sep 1, 2020 and 5 more (8 updates tracked since 2019).

About Kristal Lee Ann Wilson Md NPPES

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

KRISTAL LEE ANN WILSON MD (NPI 1578853602) is an individual interventional pain medicine provider in Louisville, Kentucky, licensed in Kentucky (48792) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (2011).

NPPES Registry Identity

NPI1578853602
Entity TypeIndividualFemale
Primary Taxonomy208VP0014X
Provider Legal NameKRISTAL LEE ANN WILSONCredential: MD
Location Address10302 BROOKRIDGE VILLAGE BLVD STE 103-104Louisville, KY 40291-4475
Mailing Address10302 Brookridge Village Blvd Ste 103-104Louisville, KY 40291-4475 · (502) 576-5300 · Fax (502) 576-5376
Fax(502) 576-5376
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2011
Enumeration DateApril 11, 2011
Last NPPES UpdateOctober 11, 20238 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
NPI 1578853602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses Licensed in KY · 48792 Licensed in IN · 01084557A
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
10302 BROOKRIDGE VILLAGE BLVD STE 103-104, Louisville, KY 40291

Other Identifiers 2

Medicaid7100212070KY
Medicaid201298810IN

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

Kristal Lee Ann 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 ID9830403161
PECOS Enrollment IDI20160810002831
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 15

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.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
306 services171 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.
245 services122 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.
195 services102 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.
146 services146 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
70 services47 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.
24 services17 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40291 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

45.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality30.6
Improvement Activities40
Cost27.35

Other Providers at the Same Location NPPES 2

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

Pain Medicine (Interventional Pain Medicine)
10302 BROOKRIDGE VILLAGE BLVD STE 103-104
LOUISVILLE, KY 40291
Nurse Practitioner (Family)
10302 BROOKRIDGE VILLAGE BLVD STE 103-104
LOUISVILLE, KY 40291

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 Kristal Wilson's NPI number?

The NPI number for Kristal Wilson is 1578853602. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Kristal Wilson located?

Kristal Wilson practices at 10302 Brookridge Village Blvd Ste 103-104, Louisville, KY 40291. The listed phone number is (502) 276-5300.

What is Kristal Wilson's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Kristal Wilson enrolled in Medicare?

Yes. Kristal 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 Kristal Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Kristal 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 Kristal Wilson affiliated with any hospitals?

According to CMS data, Kristal Wilson is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Kristal Wilson was last updated on October 11, 2023. 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.