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DR. THOMAS WILLIAM WILSON MD
NPI 1962478842
Ophthalmology in Danville, PA

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
16 WOODBINE LANE, DANVILLE, PA 17821(570) 271-6531(570) 271-7146 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2025, Aug 4, 2020 (2 updates tracked since 2020).

About Dr. Thomas William Wilson Md NPPES

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

DR. THOMAS WILLIAM WILSON MD (NPI 1962478842) is an individual ophthalmology provider in Danville, Pennsylvania, licensed in Pennsylvania (MD049787L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1990).

NPPES Registry Identity

NPI1962478842
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. THOMAS WILLIAM WILSONCredential: MD
Location Address16 WOODBINE LANEDanville, PA 17821-8029
Mailing Address100 N Academy Ave # 4903Danville, PA 17822-9800 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 271-6531
Fax(570) 271-7146
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1990
Enumeration DateFebruary 28, 2006
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1962478842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD049787L
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.
16 WOODBINE LANE, Danville, PA 17821
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Other Identifiers 3

Medicaid01736281NY
Medicaid0015265000003PA
OtherGU039847PA · Pa Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Thomas William 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 ID8426949470
PECOS Enrollment IDI20040322000402
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 Thomas Wilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
Same address
Family Medicine
16 WOODBINE LANE
Danville, PA 17822
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1366493868 (570) 271-6211
Caring Community Health Center
30 mi
Federally Qualified Health Center (FQHC)
426 AIRPORT RD
Hazle Township, PA 18202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 88 clinicians in this Medicare group
NPI 1902459407 (570) 459-9730
Guthrie Medical Group, P.C.
40 mi
Internal Medicine
110 MAIN STREET
Dushore, PA 18614
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 830 clinicians in this Medicare group
NPI 1487603965 (570) 928-8146

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
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.
13 services13 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17821 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 2

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

LAITH AYMAN MOHAMMED HAMDAN MANSOUR M.D.
Student in an Organized Health Care Education/Training Program
16 WOODBINE LANE
DANVILLE, PA 17821
Montour County (570) 271-5600
GEISINGER MEDICAL CENTER
General Acute Care Hospital
16 WOODBINE LANE
DANVILLE, PA 17821
Montour County (570) 214-9631

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 Thomas Wilson's NPI number?

The NPI number for Thomas Wilson is 1962478842. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Thomas Wilson located?

Thomas Wilson practices at 16 Woodbine Lane, Danville, PA 17821. The listed phone number is (570) 271-6531.

What is Thomas Wilson's specialty?

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

Is Thomas Wilson enrolled in Medicare?

Yes. Thomas 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 Thomas Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Wilson reassigns Medicare benefits to 3 organizations: Geisinger Clinic (Danville, PA), Caring Community Health Center (Hazle Township, PA) and Guthrie Medical Group, P.C. (Dushore, PA). 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 Thomas Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Thomas 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 Thomas Wilson affiliated with any hospitals?

According to CMS data, Thomas Wilson is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Wilson was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.