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CARMEN JOSEFA WILSON MD
NPI 1871593764
Ophthalmology in Clewiston, FL

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
820 W SUGARLAND HWY, CLEWISTON, FL 33440(941) 792-2020 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2024, Aug 9, 2022 (2 updates tracked since 2022).

About Carmen Josefa Wilson Md NPPES

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

CARMEN JOSEFA WILSON MD (NPI 1871593764) is an individual ophthalmology provider in Clewiston, Florida, licensed in Florida (ME140321) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Morehouse School Of Medicine (1993).

NPPES Registry Identity

NPI1871593764
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameCARMEN JOSEFA WILSONCredential: MD
Location Address820 W SUGARLAND HWYClewiston, FL 33440
Mailing AddressPo Box 162264Altamonte Springs, FL 32716-2264 · (941) 792-2020
Phone(941) 792-2020
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 1993
Enumeration DateJuly 21, 2005
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1871593764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in FL · ME140321✔ Licensed in GA · 044609
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.
820 W SUGARLAND HWY, Clewiston, FL 33440
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Secondary Practice Locations 2

Location 11320 N 15th StImmokalee, FL 34142 · Phone (941) 792-2020
Location 24101 Evans AveFort Myers, FL 33901-9310 · Phone (941) 792-2020 · Fax (239) 936-8776

Other Identifiers 1

Medicaid000791249BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter Health and more.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

Carmen Josefa 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 ID8325062284
PECOS Enrollment IDI20190517001550
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 6

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.
60 services45 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
45 services36 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.
41 services27 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
39 services28 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
34 services26 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33440 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.

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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability90
Improvement Activities40
Cost60.73

Other Providers at the Same Location NPPES

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

EYE ASSOCIATES OF MANATEE LLP
Eyewear Supplier
820 W SUGARLAND HWY
CLEWISTON, FL 33440
Hendry County (863) 983-9105

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 Carmen Wilson's NPI number?

The NPI number for Carmen Wilson is 1871593764. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Carmen Wilson located?

Carmen Wilson practices at 820 W Sugarland Hwy, Clewiston, FL 33440. The listed phone number is (941) 792-2020.

What is Carmen Wilson's specialty?

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

Is Carmen Wilson enrolled in Medicare?

Yes. Carmen 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 Carmen Wilson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of North Carolina and 9 other insurers list Carmen 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 Carmen Wilson was last updated on August 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.