DR. MASAO ROY WILSON M.D.
NPI 1932190782
Ophthalmology in Detroit, MI

Q: What is Masao Wilson's NPI number?

The NPI number for Masao Wilson is 1932190782. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Q: What is Masao 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 Masao Wilson was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 01, 2005PECOS EnrolledAccepts Medicare Assignment

4717 SAINT ANTOINE ST, DETROIT, MI 48201(313) 577-8900 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, Mar 7, 2023 (2 updates tracked since 2023).

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About Dr. Masao Roy Wilson M.d. NPPES

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

DR. MASAO ROY WILSON M.D. (NPI 1932190782) is an individual ophthalmology provider in Detroit, Michigan, licensed in Michigan (4301104424) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1980).

NPPES Registry Identity

NPI1932190782

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MASAO ROY WILSONCredential: M.D.

Location Address4717 SAINT ANTOINE STDetroit, MI 48201-1423

Mailing Address400 Mack AveDetroit, MI 48201-2136

Phone(313) 577-8900

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1980

Enumeration DateNovember 1, 2005

Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2025

✔ NPI 1932190782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in MI · 4301104424✔ Licensed in CO · 45762

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.

4717 SAINT ANTOINE ST, Detroit, MI 48201

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Other Identifiers 11

Other8G7983TX · Bc/bs

OtherD005NM · Triwest

Other101767100TX · Firstcare Commercial

Other82915NM · Presbyterian Commercial

Other87458ZTX · Hmo Blue

Medicaid164556601TX

Medicaid101767101TX

Medicaid200016600AOK

Medicaid1932190782MI

Medicaid74528319NM

Medicaid82915NM

Accepted Insurance

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

Dr. Masao Roy Wilson M.d. 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 ID1759279847

PECOS Enrollment IDI20240826001667

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 20

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

DR. HASSAN ALI TOKKO MD

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-7614

WILLIAM ROBERT LUCAS JR. MD

Ophthalmology

4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE
DETROIT, MI 48201

Wayne County (313) 577-8900

UNIVERSITY PHYSICIAN GROUP

Optometrist

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

TUBA SOHAIL MIRZA DO

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

PRADEEPA YOGANATHAN MD

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8932

MARYAM ASHRAFKHORASANI

Ophthalmology

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

NIKITA KAUR BHANGU MD

Student in an Organized Health Care Education/Training Program

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 745-5146

CLAIRE SIMONS MD

Student in an Organized Health Care Education/Training Program

4717 SAINT ANTOINE ST
DETROIT, MI 48201

Wayne County (313) 577-8900

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 Masao Wilson's NPI number?

The NPI number for Masao Wilson is 1932190782. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Where is Masao Wilson located?

Masao Wilson practices at 4717 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 577-8900.

What is Masao Wilson's specialty?

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

Is Masao Wilson enrolled in Medicare?

Yes. Masao 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 Masao Wilson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Masao 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 Masao Wilson was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.