DR. SHAWN ANTHONY WILSON D.O.
NPI 1699068445
Orthopaedic Surgery in Suffolk, VA

Q: What is Shawn Wilson's NPI number?

The NPI number for Shawn Wilson is 1699068445. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Q: What is Shawn Wilson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Wilson was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 25, 2011PECOS EnrolledAccepts Medicare Assignment

94.5/100

CMS Quality Rating

5838 HARBOUR VIEW BLVD BLDG STE 100, SUFFOLK, VA 23435(757) 673-5680(757) 483-3075 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Shawn Anthony Wilson D.o. NPPES

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

DR. SHAWN ANTHONY WILSON D.O. (NPI 1699068445) is an individual orthopaedic surgery provider in Suffolk, Virginia, licensed in Virginia (0102205257) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1699068445

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. SHAWN ANTHONY WILSONCredential: D.O.

Location Address5838 HARBOUR VIEW BLVD BLDG STE 100Suffolk, VA 23435-2663

Mailing Address5838 Harbour View Blvd Bldg Ste 100Suffolk, VA 23435-2663 · (757) 673-5680 · Fax (757) 483-3075

Phone(757) 673-5680

Fax(757) 483-3075

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateMay 25, 2011

Last NPPES UpdateSeptember 24, 2018

✔ NPI 1699068445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in VA · 0102205257

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

5838 HARBOUR VIEW BLVD BLDG STE 100, Suffolk, VA 23435

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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

Dr. Shawn Anthony Wilson D.o. 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 ID648590612

PECOS Enrollment IDI20180926002748

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 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

327 services232 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.

194 services174 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

167 services126 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.

158 services144 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

129 services81 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

121 services94 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

119 services84 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

88 services88 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.

65 services65 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

59 services53 patients

Injection of carpal tunnel 20526

An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.

37 services33 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

28 services21 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

26 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services25 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

23 services22 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490017

Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County

Emergency services

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490044

Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County

Emergency services Birthing friendly

Bon Secours Southampton Memorial Hospital

Acute Care Hospitals · Franklin, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490092

Location100 Fairview Drive - PO Box 817Franklin, VA 23851 · Franklin City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23435 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

94.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

90.01

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

100%35 patients5/55-star benchmark: 100%

Breast Cancer Screening

69%807 patients3/55-star benchmark: 93%

Cervical Cancer Screening

32%733 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

12%682 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

49%1,463 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

72%910 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

19%398 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

28%398 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

94%3,234 patients4/55-star benchmark: 100%

e-Prescribing

100%105 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

68%785 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

91%2,301 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

41%1,825 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

3%1,979 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 91% · 962 patients

Patients screened: 98% · 962 patients

57%161 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%742 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%809 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 6% · 831 patients

Patients totalRate: 13% · 831 patients

12%831 patients3/55-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 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier57 claims78 services$48.37 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924

DME-Orthotic Devices · category DF000N

1 supplier51 claims67 services$67.86 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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 Shawn Wilson's NPI number?

The NPI number for Shawn Wilson is 1699068445. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Where is Shawn Wilson located?

Shawn Wilson practices at 5838 Harbour View Blvd Bldg Ste 100, Suffolk, VA 23435. The listed phone number is (757) 673-5680.

What is Shawn Wilson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Shawn Wilson enrolled in Medicare?

Yes. Shawn 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.

Is Shawn Wilson affiliated with any hospitals?

According to CMS data, Shawn Wilson is affiliated with Bon Secours Maryview Medical Center, Sentara Obici Hospital and Bon Secours Southampton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Wilson was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.