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MARY KATE WILSON MD
NPI 1750910949
Ophthalmology in St Augustine, FL

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
206 ASHOURIAN AVE STE 215, ST AUGUSTINE, FL 32092(904) 296-0098 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2026, Sep 26, 2024, Apr 8, 2020 (3 updates tracked since 2020).

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 St Augustine, Florida, licensed in Florida (166739) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 4 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 Address206 ASHOURIAN AVE STE 215St Augustine, FL 32092-5107
Mailing AddressPo Box 11407Birmingham, AL 35246-8575 · (864) 359-1308 · Fax (239) 496-3939
Phone(904) 296-0098
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1750910949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ 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)
206 ASHOURIAN AVE STE 215, St Augustine, FL 32092
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Secondary Practice Locations 4

Location 13 Shircliff Way Ste 134Jacksonville, FL 32204-4785 · Phone (904) 296-0098
Location 21909 Beach Blvd Ste 101Jacksonville Beach, FL 32250-2643 · Phone (904) 296-0098
Location 37205 Bentley RdJacksonville, FL 32256-7565 · Phone (904) 296-0098
Location 412341 Yellow Bluff Rd Ste 4Jacksonville, FL 32226-2014 · 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
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 32092 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 3

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

ALICE P LAFLAMME OD
Optometrist
206 ASHOURIAN AVE STE 215
ST AUGUSTINE, FL 32092
St. Johns County (904) 296-0098
DR. JERRY LEE ROBBEN
Optometrist
206 ASHOURIAN AVE STE 215
ST AUGUSTINE, FL 32092
St. Johns County (904) 296-0098
FRANK W. BOWDEN, III, MD, FACS, PA
Ophthalmology
206 ASHOURIAN AVE STE 215
SAINT AUGUSTINE, FL 32092
St. Johns County (904) 296-0098

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 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.

Where is Mary Wilson located?

Mary Wilson practices at 206 Ashourian Ave Ste 215, St Augustine, FL 32092. The listed phone number is (904) 296-0098.

What is Mary Wilson's specialty?

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

Is Mary Wilson enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Wilson accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mary 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 Mary Wilson was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.