Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY KATE WILSON MD
NPI 1750910949
Ophthalmology in Greenville, SC

Q: What is Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1750910949. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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 April 08, 2020PECOS Enrolled

104 SIMPSON ST, GREENVILLE, SC 29605(864) 522-3900(864) 522-3909 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 6, 2026, Apr 1, 2026, Sep 26, 2024 and 1 more (4 updates tracked since 2020).

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About Mary Kate Wilson Md NPPES

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

MARY KATE WILSON MD (NPI 1750910949) is an individual ophthalmology provider in Greenville, South Carolina, licensed in South Carolina (96208) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Of Florida College Of Medicine (2020).

NPPES Registry Identity

NPI1750910949

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameMARY KATE WILSONCredential: MD

Location Address104 SIMPSON STGreenville, SC 29605-4413

Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8603

Phone(864) 522-3900

Fax(864) 522-3909

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2020

Enumeration DateApril 8, 2020

Last NPPES UpdateOctober 6, 20264 updates tracked since enumeration

NPPES CertifiedOctober 6, 2026

✔ NPI 1750910949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in SC · 96208✔ Licensed in FL · 166739

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License ME166739 (FL)

104 SIMPSON ST, Greenville, SC 29605

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Secondary Practice Locations 5

Location 13 Shircliff Way Ste 134Jacksonville, FL 32204-4785 · Phone (904) 296-0098

Location 212341 Yellow Bluff Rd Ste 4Jacksonville, FL 32226-2014 · Phone (904) 296-0098

Location 37205 Bentley RdJacksonville, FL 32256-7565 · Phone (904) 296-0098

Location 41909 Beach Blvd Ste 101Jacksonville Beach, FL 32250-2643 · Phone (904) 296-0098

Location 5206 Ashourian Ave Ste 215St Augustine, FL 32092-5107 · Phone (904) 296-0098

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Mary Kate Wilson Md 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 ID143649970

PECOS Enrollment IDI20240812000939, I20260522002849

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.

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.

15 services15 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.

13 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.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 14

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

JULIUS WARREN WELBORN III M.D.

Ophthalmology