DAVID BAILEY WILSON M.D.
NPI 1619947017
Surgery - Vascular Surgery in Rome, GA

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
77.45/100
CMS Quality Rating
550 REDMOND RD NW, ROME, GA 30165(706) 233-8508(706) 233-8509 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2020, Feb 5, 2019 (2 updates tracked since 2019).

About David Bailey Wilson M.d. NPPES

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

DAVID BAILEY WILSON M.D. (NPI 1619947017) is an individual vascular surgery provider in Rome, Georgia, licensed in Georgia (066339) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of West Virginia University School Of Medicine (1994).

NPPES Registry Identity

NPI1619947017
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDAVID BAILEY WILSONCredential: M.D.
Location Address550 REDMOND RD NWRome, GA 30165-1416
Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (762) 235-1000
Fax(706) 233-8509
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1994
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMay 8, 20202 updates tracked since enumeration
NPPES CertifiedMay 8, 2020
NPI 1619947017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in GA · 066339
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
550 REDMOND RD NW, Rome, GA 30165

Other Identifiers 1

Medicaid003111624AGA

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

David Bailey 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 ID5698711240
PECOS Enrollment IDI20110801000730
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 32

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.

Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
168 services155 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.
116 services92 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.
110 services100 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
56 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services46 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
45 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110168
Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

77.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.86
Promoting Interoperability100
Improvement Activities40
Cost63.96

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
20%130 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
21%78 patients
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
3%114 patients1/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
75%114 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%995 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%246 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%195 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%631 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%631 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
22%631 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%631 patients
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.

Nurse Practitioner
550 REDMOND RD NW, SUITE A
ROME, GA 30165
Nurse Practitioner
550 REDMOND RD NW
ROME, GA 30165
Optometrist
550 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
550 REDMOND RD NW
ROME, GA 30165
Psychiatry & Neurology (Neurology)
550 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
550 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
550 REDMOND RD NW
ROME, GA 30165
Ophthalmology
550 REDMOND RD NW
ROME, GA 30165

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 1619947017. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is David Wilson located?

David Wilson practices at 550 Redmond Rd NW, Rome, GA 30165. The listed phone number is (706) 233-8508.

What is David Wilson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

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.

What insurance does David Wilson accept?

Health plans from Alliant Health Plans, Inc. 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.

Is David Wilson affiliated with any hospitals?

According to CMS data, David Wilson is affiliated with Atrium Health Floyd Medical Center and Redmond Regional Medical Center.

When was this NPI record last updated?

The NPPES record for David Wilson was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.