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

Q: 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.

Q: What is Benjamin Wilson's specialty?

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

Q: 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 5 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 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: August 02, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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Other Providers at the Same Location NPPES 9

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

KAREN LYNN KELLY-CARR ARNP,FNP

Nurse Practitioner (Family)