DR. EDITH DIANE WILSON MD
NPI 1972602969
Urology in Olympia, WA

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
615 LILLY RD NE STE 175, OLYMPIA, WA 98506(360) 486-6772(360) 486-6775 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Edith Diane Wilson Md NPPES

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

DR. EDITH DIANE WILSON MD (NPI 1972602969) is an individual urology provider in Olympia, Washington, licensed in Wyoming (5500A) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1972602969
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. EDITH DIANE WILSONCredential: MD
Location Address615 LILLY RD NE STE 175Olympia, WA 98506-5179
Mailing Address615 Lilly Rd Ne Ste 175Olympia, WA 98506-5179 · (360) 486-6772 · Fax (360) 486-6775
Fax(360) 486-6775
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 29, 2011
✔ NPI 1972602969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in WY · 5500A✔ Licensed in CO · 36402
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
615 LILLY RD NE STE 175, Olympia, WA 98506

Other Identifiers 4

Medicare UPINF96199
Medicaid110601500WY
Medicare ID-Type UnspecifiedW9208
OtherW9209Clinic Mcar #

Accepted 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. Edith Diane 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 ID5294626008
PECOS Enrollment IDI20180626000496
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

2

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

Rural Health
1177 BORDER LN
Washburn, ND 58577
  • Reassigned Medicare billing, North Dakota enrollment
  • 616 clinicians in this Medicare group
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group

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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
17 services16 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.
14 services13 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 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.23
Promoting Interoperability88
Improvement Activities40
Cost73.49

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 Edith Wilson's NPI number?

The NPI number for Edith Wilson is 1972602969. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Edith Wilson located?

Edith Wilson practices at 615 Lilly Rd NE Ste 175, Olympia, WA 98506. The listed phone number is (360) 486-6772.

What is Edith Wilson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Edith Wilson enrolled in Medicare?

Yes. Edith 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 Edith Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edith Wilson reassigns Medicare benefits to 2 organizations: St. Alexius Medical Center (Washburn, ND) and Denver Health And Hospital Authority (Denver, CO). 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 Edith Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edith Wilson accept?

Health plans from Blue Cross Blue Shield of Wyoming and Providence Health Plan list Edith 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 Edith Wilson was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.