DR. PHILIP THOMAS WILSON D.O.
NPI 1811256084
Family Medicine in Dothan, AL

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment
4370 W MAIN ST, DOTHAN, AL 36305(334) 794-5000 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Philip Thomas Wilson D.o. NPPES

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

DR. PHILIP THOMAS WILSON D.O. (NPI 1811256084) is an individual family medicine provider in Dothan, Alabama, licensed in Alabama (DO.1272) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1811256084
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PHILIP THOMAS WILSONCredential: D.O.
Location Address4370 W MAIN STDothan, AL 36305-1056
Mailing Address105 S Woodburn Dr Ste 2Dothan, AL 36305-1109
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 9, 2012
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
NPI 1811256084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in AL · DO.1272 Licensed in FL · OS12983
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4370 W MAIN ST, Dothan, AL 36305

Secondary Practice Locations 2

Location 11827 Harrison AvePanama City, FL 32405-7605 · Phone (800) 410-0317
Location 2105 S Woodburn Dr Ste 2Dothan, AL 36305-1109 · Phone (334) 649-3458 · Fax (949) 703-7298

Accepted 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

Dr. Philip Thomas 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 ID5294972386
PECOS Enrollment IDI20130509000066
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 4

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
57 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36305 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%337 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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$17.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$93.65 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 20

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

Radiology (Diagnostic Radiology)
4370 W MAIN ST
DOTHAN, AL 36305
Anesthesiology
4370 W MAIN ST, ANESTHESIA DEPT
DOTHAN, AL 36305
Nurse Anesthetist, Certified Registered
4370 W MAIN ST
DOTHAN, AL 36305
Anesthesiology
4370 W MAIN ST, ANESTHESIA DEPT
DOTHAN, AL 36305
Urology
4370 W MAIN ST
DOTHAN, AL 36305
Nurse Anesthetist, Certified Registered
4370 W MAIN ST
DOTHAN, AL 36305
Nurse Practitioner (Family)
4370 W MAIN ST
DOTHAN, AL 36305
Student in an Organized Health Care Education/Training Program
4370 W MAIN ST
DOTHAN, AL 36305

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 Philip Wilson's NPI number?

The NPI number for Philip Wilson is 1811256084. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Philip Wilson located?

Philip Wilson practices at 4370 W Main St, Dothan, AL 36305. The listed phone number is (334) 794-5000.

What is Philip Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Wilson enrolled in Medicare?

Yes. Philip 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 Philip Wilson accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Philip 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 Philip Wilson was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.