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DR. MICHAEL ANTHONY WILSON D.O.
NPI 1912260662
Internal Medicine in Albany, KY

Active since June 18, 2012PECOS EnrolledAccepts Medicare Assignment
704 POPLAR ST, ALBANY, KY 42602(931) 510-7057 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael Anthony Wilson D.o. NPPES

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

DR. MICHAEL ANTHONY WILSON D.O. (NPI 1912260662) is an individual internal medicine provider in Albany, Kentucky, licensed in Kentucky (03758) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Lincoln Memorial University Medical Department (2012).

NPPES Registry Identity

NPI1912260662
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL ANTHONY WILSONCredential: D.O.
Location Address704 POPLAR STAlbany, KY 42602-1520
Mailing Address704 Poplar StAlbany, KY 42602-1520 · (931) 510-7057
Phone(931) 510-7057
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2012
Enumeration DateJune 18, 2012
Last NPPES UpdateNovember 25, 2019
✔ NPI 1912260662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 03758✔ Licensed in VA · 0116024840✔ Licensed in KY · TP949
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 01065277A (IN)
Also ListedHospitalistTaxonomy 208M00000X · License 03758 (KY)
704 POPLAR ST, Albany, KY 42602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Anthony 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 ID1456570928
PECOS Enrollment IDI20140915002267
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.

Medicare Billing Reassignments

13

Medicare enrollment records show Michael Wilson reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wayne County Hospital, Inc
18 mi
Family Medicine
166 HOSPITAL ST
Monticello, KY 42633
  • Reassigned Medicare billing, Kentucky enrollment
  • 26 clinicians in this Medicare group
NPI 1841501947 (606) 348-9343
Russell County Hospital
25 mi
Critical Access
153 DOWELL RD
Russell Springs, KY 42642
  • Reassigned Medicare billing, Kentucky enrollment
  • 16 clinicians in this Medicare group
NPI 1013954437 (270) 866-4753
Lake Cumberland Regional Hospital LLC
39 mi
Family
353 BOGLE ST, SUITE A
Somerset, KY 42503
  • Reassigned Medicare billing, Kentucky enrollment
  • 89 clinicians in this Medicare group
NPI 1093092744 (606) 451-6005
Urgent Care Services Southeast Psc
47 mi
Family Medicine
1301 N RACE ST
Glasgow, KY 42141
  • Reassigned Medicare billing, Kentucky enrollment
  • 68 clinicians in this Medicare group
NPI 1427831759 (270) 651-4444
Owensboro Health Medical Group Inc
54 mi
Otolaryngology
1501 S DIXIE ST
Horse Cave, KY 42749
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
NPI 1891177556 (270) 786-2191
Apogee Medical Group Kentucky Psc
59 mi
General Practice
1 TRILLIUM WAY, SUITE 5
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 93 clinicians in this Medicare group
NPI 1356503114 (606) 528-1212
Southeastern Physician Services PC
68 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Kentucky enrollment
  • 358 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Emergency Medicine Services Of Ky, LLC
74 mi
Emergency Medicine
1801 ASHLEY CIR
Bowling Green, KY 42104
  • Reassigned Medicare billing, Kentucky enrollment
  • 103 clinicians in this Medicare group
NPI 1033816194 (270) 793-1000
Emergency Medicine Physicians Of Estill County,pllc
95 mi
Emergency Medicine
60 MERCY CT
Irvine, KY 40336
  • Reassigned Medicare billing, Kentucky enrollment
  • 54 clinicians in this Medicare group
NPI 1407235666 (330) 493-4443
Pine Mountain Emergency Group Limited Liability Company
102 mi
Emergency Medicine
81 BALL PARK RD
Harlan, KY 40831
  • Reassigned Medicare billing, Kentucky enrollment
  • 35 clinicians in this Medicare group
NPI 1568010064 (606) 573-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services57 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services43 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Tristar Greenview Regional Hospital

Acute Care Hospitals · Bowling Green, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180124
Location1801 Ashley CircleBowling Green, KY 42104 · Warren County
Emergency services

Tj Health Columbia

Acute Care Hospitals · Columbia, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180149
Location901 Westlake DriveColumbia, KY 42728 · Adair County
Emergency services

Marcum And Wallace Memorial Hospital

Critical Access Hospitals · Irvine, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number181301
Location60 Mercy CourtIrvine, KY 40336 · Estill County
Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY
OwnershipGovernment - Local
CMS Certification Number181330
Location153 Dowell RoadRussell Springs, KY 42642 · Russell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42602 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1912260662. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Michael Wilson located?

Michael Wilson practices at 704 Poplar St, Albany, KY 42602. The listed phone number is (931) 510-7057.

What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Wilson enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wilson reassigns Medicare benefits to 13 organizations: Wayne County Hospital, Inc (Monticello, KY), Russell County Hospital (Russell Springs, KY), Lake Cumberland Regional Hospital LLC (Somerset, KY), Urgent Care Services Southeast Psc (Glasgow, KY), Owensboro Health Medical Group Inc (Horse Cave, KY) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Michael 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.

Is Michael Wilson affiliated with any hospitals?

According to CMS data, Michael Wilson is affiliated with Middlesboro Arh Hospital, Tristar Greenview Regional Hospital, Tj Health Columbia, Marcum And Wallace Memorial Hospital and Russell County Hospital.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.