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THOMAS COOPER WILSON M.D.
NPI 1659647550
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in St Petersburg, FL

Active since March 26, 2012PECOS EnrolledAccepts Medicare Assignment
625 6TH AVE S STE 450, ST PETERSBURG, FL 33701(251) 533-3852 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2018, Aug 9, 2017 (2 updates tracked since 2017).

About Thomas Cooper Wilson M.d. NPPES

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

THOMAS COOPER WILSON M.D. (NPI 1659647550) is an individual pediatric orthopaedic surgery provider in St Petersburg, Florida, licensed in Florida (ME137286) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2012).

NPPES Registry Identity

NPI1659647550
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameTHOMAS COOPER WILSONCredential: M.D.
Location Address625 6TH AVE S STE 450St Petersburg, FL 33701
Mailing Address625 6th Ave S Ste 450St Petersburg, FL 33701-4629 · (727) 898-2663 · Fax (727) 568-6836
Phone(251) 533-3852
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2012
Enumeration DateMarch 26, 2012
Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration
✔ NPI 1659647550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Licenses✔ Licensed in FL · ME137286✔ Licensed in UT · 10332056-1205
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
625 6TH AVE S STE 450, St Petersburg, FL 33701
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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

Thomas Cooper 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 ID8123399847
PECOS Enrollment IDI20190510000339
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.

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.

CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGERY ASSOCIATES, LLP
Durable Medical Equipment & Medical Supplies
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
RYAN G ROSS PA-C
Physician Assistant (Surgical)
625 6TH AVE S STE 450
SAINT PETERSBURG, FL 33701
Pinellas County (727) 898-2663
SELAH BAKER PA-C
Physician Assistant (Surgical)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
RYAN EVERETT FITZGERALD MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
LEE G PHILLIPS MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
CHILDREN'S ORTHOPAEDIC & SCOLIOSIS SURGERY ASSOCIATES, LLP
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
STEPHANIE ALDRIDGE PA-C
Physician Assistant (Surgical)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663
MRS. DIANE ROSE BRONKEMA ROT
Specialist/Technologist, Other (Orthopedic Assistant)
625 6TH AVE S STE 450
ST PETERSBURG, FL 33701
Pinellas County (727) 898-2663

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 Thomas Wilson's NPI number?

The NPI number for Thomas Wilson is 1659647550. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Where is Thomas Wilson located?

Thomas Wilson practices at 625 6th Ave S Ste 450, St Petersburg, FL 33701. The listed phone number is (251) 533-3852.

What is Thomas Wilson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Thomas Wilson enrolled in Medicare?

Yes. Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Wilson was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.