1. Home
  2. Directory
  3. Florida
  4. Sebring
  5. Family Medicine
  6. NPI Profile

BENJAMIN J WILSON MD
NPI 1952694549
Family Medicine in Sebring, FL

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
6325 N HIGHWAY 27 STE 201, SEBRING, FL 33870(863) 382-9600(863) 382-0107 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2023, Sep 23, 2021, Dec 6, 2017 (3 updates tracked since 2017).

About Benjamin J Wilson Md NPPES

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

BENJAMIN J WILSON MD (NPI 1952694549) is an individual family medicine provider in Sebring, Florida, licensed in Florida (ME160361) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and maintains a secondary practice location in Longwood.

NPPES Registry Identity

NPI1952694549
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN J WILSONCredential: MD
Location Address6325 N HIGHWAY 27 STE 201Sebring, FL 33870-8226
Mailing Address6325 N Highway 27 Ste 201Sebring, FL 33870-8226 · (863) 382-9600 · Fax (863) 382-0107
Phone(863) 382-9600
Fax(863) 382-0107
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2011
Enumeration DateMay 16, 2011
Last NPPES UpdateFebruary 9, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1952694549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME160361✔ Licensed in WA · MD60771670✔ Licensed in UT · 8438943-1205
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.
6325 N HIGHWAY 27 STE 201, Sebring, FL 33870
Open in Google Maps ↗

Secondary Practice Location 1

Location 11908 Boothe CirLongwood, FL 32750-6774 · Phone (844) 665-4827 · Fax (855) 437-3395

Other Identifiers 1

Medicaid123773600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans 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 and accepts Medicare assignment

Benjamin J 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 ID2264684885
PECOS Enrollment IDI20230512000030
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

3

Medicare enrollment records show Benjamin Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health System-Sunbelt Inc
4.2 mi
Rural Health
1006 W PLEASANT ST
Avon Park, FL 33825
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1396046637 (Florida)
  • 105 clinicians in this Medicare group
NPI 1881850956 (863) 453-3121
Guidewell Sanitas I, LLC
69 mi
Family Medicine
3617 W HILLSBOROUGH AVE
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 229 clinicians in this Medicare group
NPI 1538547252 (786) 408-8502
Florida Hospital Medical Group Inc
70 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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

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.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33870 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 10

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

SARAH RUPP DO
Family Medicine
6325 N HIGHWAY 27 STE 201
SEBRING, FL 33870
Highlands County (863) 382-9600
KAREN LYNN KELLY-CARR ARNP,FNP
Nurse Practitioner (Family)
6325 N HIGHWAY 27 STE 201
SEBRING, FL 33870
Highlands County (863) 385-2222
RAZVAN PAUL ONICA MD
Student in an Organized Health Care Education/Training Program
6325 N HIGHWAY 27 STE 201
SEBRING, FL 33870
Highlands County (863) 382-9600
MARYAM SOHOOLI MD
Student in an Organized Health Care Education/Training Program
6325 N HIGHWAY 27 STE 201
SEBRING, FL 33870
Highlands County (863) 382-4040
ZOHHA TARIQ ALAM DO
Student in an Organized Health Care Education/Training Program
6325 N HIGHWAY 27 STE 201
SEBRING, FL 33870
Highlands County (863) 402-3411
DEBORAH RHODA CABALLERO RODRIGUEZ
Nurse Practitioner (Psychiatric/Mental Health)
6325 N HIGHWAY 27 STE 201
SEBRING, FL 33870
Highlands County (863) 382-9600
MR. ANIL BALLMICK
Student in an Organized Health Care Education/Training Program
6325 N HIGHWAY 27 STE 201
SEBRING, FL 33870
Highlands County (861) 338-2960
SARAH SPRING DO
Student in an Organized Health Care Education/Training Program
6325 N HIGHWAY 27 STE 201
SEBRING, FL 33870
Highlands County (863) 382-9600

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 Benjamin Wilson's NPI number?

The NPI number for Benjamin Wilson is 1952694549. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Benjamin Wilson located?

Benjamin Wilson practices at 6325 N Highway 27 Ste 201, Sebring, FL 33870. The listed phone number is (863) 382-9600.

What is Benjamin Wilson's specialty?

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

Is Benjamin Wilson enrolled in Medicare?

Yes. Benjamin 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 Benjamin Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Wilson reassigns Medicare benefits to 3 organizations: Adventist Health System-Sunbelt Inc (Avon Park, FL), Guidewell Sanitas I, LLC (Tampa, FL) and Florida Hospital Medical Group Inc (Orlando, FL). 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 Benjamin Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Wilson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and UnitedHealthcare and 1 other insurer list Benjamin 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 Benjamin Wilson affiliated with any hospitals?

According to CMS data, Benjamin Wilson is affiliated with Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Benjamin Wilson was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.