SUZANNE LEE WILSON M.D.
NPI 1619996121
Hospitalist in Pinehurst, NC

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
88.68/100
CMS Quality Rating
205 PAGE ROAD, PINEHURST, NC 28374(910) 295-5511(910) 295-5481 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suzanne Lee Wilson M.d. NPPES

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

SUZANNE LEE WILSON M.D. (NPI 1619996121) is an individual hospitalist provider in Pinehurst, North Carolina, licensed in North Carolina (01975) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1619996121
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSUZANNE LEE WILSONCredential: M.D.
Location Address205 PAGE ROADPinehurst, NC 28374-8798
Mailing Address205 Page RoadPinehurst, NC 28374-8798 · (910) 295-5511 · Fax (910) 295-5481
Fax(910) 295-5481
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 2, 2024
NPI 1619996121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NC · 01975
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

205 PAGE ROAD, Pinehurst, NC 28374

Other Identifiers 6

Other195533NC · Medcost
Other0407048NC · Evercare Provider #
Other144NONC · Bcbs
Medicaid5905677NC
OtherFH1100235NC · Firstcarolina
OtherN01975SC · Sc Medicaid

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

Suzanne Lee 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 ID8426154808
PECOS Enrollment IDI20070501000406
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 3

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services19 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.
29 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services14 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

88.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.59
Promoting Interoperability96
Improvement Activities40
Cost84.03

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Pulmonary Disease)
205 PAGE ROAD
PINEHURST, NC 28374
Dermatology
205 PAGE ROAD
PINEHURST, NC 28374
Nurse Practitioner (Family)
205 PAGE ROAD
PINEHURST, NC 28374
Physician Assistant
205 PAGE ROAD
PINEHURST, NC 28374
Nurse Practitioner
205 PAGE ROAD
PINEHURST, NC 28374
Physician Assistant
205 PAGE ROAD
PINEHURST, NC 28374
Internal Medicine (Endocrinology, Diabetes & Metabolism)
205 PAGE ROAD
PINEHURST, NC 28374

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 Suzanne Wilson's NPI number?

The NPI number for Suzanne Wilson is 1619996121. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Suzanne Wilson located?

Suzanne Wilson practices at 205 Page Road, Pinehurst, NC 28374. The listed phone number is (910) 295-5511.

What is Suzanne Wilson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Suzanne Wilson enrolled in Medicare?

Yes. Suzanne 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 Suzanne Wilson accept?

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

According to CMS data, Suzanne Wilson is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Suzanne Wilson was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.