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DR. BRYANT WILSON MD
NPI 1639501265
Internal Medicine in Saint Augustine, FL

Active since August 06, 2013Opted out of Medicare · through Apr 1, 2027
400 HEALTH PARK BLVD, SAINT AUGUSTINE, FL 32086(904) 819-5155 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2024, Dec 14, 2016 (2 updates tracked since 2016).

About Dr. Bryant Wilson Md NPPES

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

DR. BRYANT WILSON MD (NPI 1639501265) is an individual internal medicine provider in Saint Augustine, Florida, licensed in Florida (ME128474) and active in the NPI registry since August 2013. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639501265
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRYANT WILSONCredential: MD
Location Address400 HEALTH PARK BLVDSaint Augustine, FL 32086-5784
Mailing Address438 Glorieta DrSaint Augustine, FL 32095-7482 · (941) 914-4745
Phone(904) 819-5155
Sole ProprietorNo
Enumeration DateAugust 6, 2013
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1639501265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME128474
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
400 HEALTH PARK BLVD, Saint Augustine, FL 32086
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bryant Wilson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
528 services210 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
303 services138 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
219 services210 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
113 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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…
99%166 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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$14.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers36 claims36 services$70.76 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier582 claims3,091 services$213.91 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier330 claims330 services$212.88 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.

HEATHER LESHANE P.T.
Physical Therapist
400 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 819-4374
MANDANA DAVANI M.D.
Radiology (Diagnostic Radiology)
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 819-4398
DAVID S GOINS PA
Physician Assistant
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-4700
TERESA M MAZUR MD
Emergency Medicine
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 826-4700
RIPP A SMITH M.D.
Radiology (Diagnostic Radiology)
400 HEALTH PARK BLVD, ATTN: ST. JOHNS RADIOLOGY ASSOCIATES
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-4398
HOSPITALIST MEDICINE PHYSICIANS OF MISSISSIPPI-TCS, INC.
Internal Medicine
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (615) 377-5658
MR. GARY WAYNE CATER D.O.
Pediatrics (Neonatal-Perinatal Medicine)
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-4478
EMILY MCCARTHY
Nurse Anesthetist, Certified Registered
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-5155

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 Bryant Wilson's NPI number?

The NPI number for Bryant Wilson is 1639501265. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Bryant Wilson located?

Bryant Wilson practices at 400 Health Park Blvd, Saint Augustine, FL 32086. The listed phone number is (904) 819-5155.

What is Bryant Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bryant Wilson enrolled in Medicare?

No. Bryant Wilson has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bryant Wilson was last updated on August 13, 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.