MICHAEL J WILSON MD
NPI 1942259676
Internal Medicine in Indianapolis, IN

Q: What is Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1942259676. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Michael Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 09, 2006PECOS Enrolled

3401 E RAYMOND ST, INDIANAPOLIS, IN 46203(317) 488-2020 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Michael J Wilson Md NPPES

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

MICHAEL J WILSON MD (NPI 1942259676) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01058771A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomington, and is a graduate of Indiana University School Of Medicine (2000).

NPPES Registry Identity

NPI1942259676

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMICHAEL J WILSONCredential: MD

Location Address3401 E RAYMOND STIndianapolis, IN 46203-4744

Mailing Address3401 E Raymond StIndianapolis, IN 46203-4744

Phone(317) 488-2020

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2000

Enumeration DateMay 9, 2006

Last NPPES UpdateSeptember 15, 2023

NPPES CertifiedSeptember 15, 2023

✔ NPI 1942259676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 01058771A

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 ListedPediatricsTaxonomy 208000000X · License 01058771A (IN)

3401 E RAYMOND ST, Indianapolis, IN 46203

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Secondary Practice Location 1

Location 1550 S Landmark AveBloomington, IN 47403-3239 · Phone (812) 330-3689 · Fax (812) 355-3290

Other Identifiers 1

Medicaid200309370IN

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466407762

PECOS Enrollment IDI20050321000205

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

Medicare enrollment records show Michael Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthnet, Inc.

4.9 mi

Federally Qualified Health Center (FQHC)

2855 N KEYSTONE AVE, STE 100
Indianapolis, IN 46218

Reassigned Medicare billing, Indiana enrollment
95 clinicians in this Medicare group

NPI 1780634964 (317) 957-2300

Indiana University Health Southern Indiana Physicians, LLC

40 mi

Multi-Specialty

2651 E DISCOVERY PKWY
Bloomington, IN 47408

Reassigned Medicare billing, Indiana enrollment
783 clinicians in this Medicare group

NPI 1013953983 (812) 353-5252

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 2

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 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.

29 services24 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.

24 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46203 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers15 claims33 services$6.04 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims13 services$0.83 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers12 claims230 services$4.27 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$8.45 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$3.14 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers12 claims12 services$185.08 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.

CHARLES WALTER KELLEY III DPM

Podiatrist (Foot Surgery)