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LORRAINE T WILSON MD
NPI 1720180029
Internal Medicine - Nephrology in Oklahoma City, OK

Active since September 05, 2006PECOS Enrolled
79.48/100
CMS Quality Rating
13901 MCAULEY BLVD, SUITE 303, OKLAHOMA CITY, OK 73134(405) 748-5800 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2018, Dec 15, 2016 (2 updates tracked since 2016).

About Lorraine T Wilson Md NPPES

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

LORRAINE T WILSON MD (NPI 1720180029) is an individual nephrology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (12390) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720180029
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameLORRAINE T WILSONCredential: MD
Location Address13901 MCAULEY BLVD, SUITE 303Oklahoma City, OK 73134-8700
Mailing Address13901 Mcauley Blvd, Suite 303Oklahoma City, OK 73134-8700 · (405) 748-5800
Phone(405) 748-5800
Sole ProprietorNo
Enumeration DateSeptember 5, 2006
Last NPPES UpdateSeptember 21, 20182 updates tracked since enumeration
✔ NPI 1720180029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OK · 12390
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
13901 MCAULEY BLVD, Oklahoma City, OK 73134
Open in Google Maps ↗

Other Identifiers 1

Medicaid100136130AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CommunityCare, Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lorraine T Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.

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.
451 services319 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
154 services22 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
73 services13 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.
54 services53 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
51 services51 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
47 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73134 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.1
Promoting Interoperability99
Improvement Activities40
Cost37.69

Reported Quality Measures

Controlling High Blood Pressure
72%610 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
33%227 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,774 patients5/55-star benchmark: 100%
e-Prescribing
95%1,595 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%697 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%927 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 464 patients
Patients screened: 99% · 464 patients
43%37 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%937 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 716 patients
Patients totalRate: 0% · 716 patients
0%716 patients5/55-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.

Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers29 claims3,300 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers28 claims28 services$18.26 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 5

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

DR. KAELIN COLLEEN MERVELDT M.D.
Internal Medicine (Nephrology)
13901 MCAULEY BLVD, SUITE 100
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 748-5800
DR. JANA FREEMAN M.D.
Pediatrics
13901 MCAULEY BLVD, SUITE 220
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 755-6102
OKLAHOMA KIDNEY CARE PC
Internal Medicine (Nephrology)
13901 MCAULEY BLVD, 303
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 748-5800
PARRINGTON & FREEMAN, PLLC
Pediatrics
13901 MCAULEY BLVD, SUITE 220
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 755-6102
OKLAHOMA KIDNEY CARE DIALYSIS, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
13901 MCAULEY BLVD
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 748-5800

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 Lorraine Wilson's NPI number?

The NPI number for Lorraine Wilson is 1720180029. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Lorraine Wilson located?

Lorraine Wilson practices at 13901 Mcauley Blvd Suite 303, Oklahoma City, OK 73134. The listed phone number is (405) 748-5800.

What is Lorraine Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Lorraine Wilson enrolled in Medicare?

Yes. Lorraine Wilson is registered in the Medicare PECOS enrollment system.

What insurance does Lorraine Wilson accept?

Health plans from CommunityCare, Medica and Mending Health list Lorraine 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.

When was this NPI record last updated?

The NPPES record for Lorraine Wilson was last updated on September 21, 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.