Individual provider Active NPI

William Scott Wilkinson, M.D.

  • Ophthalmology Physician
  • Pontiac, MI
National Provider Identifier
1124057690
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301406185 Issued in MI
Practice address
44555 Woodward Ave
Suite 203
Pontiac, MI 48341-5033
Phone
(248) 334-4931
Fax
(248) 858-3993
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301406185 MI Primary

Addresses

Primary practice location

44555 Woodward Ave
Suite 203
Pontiac, MI 48341-5033

Mailing address

690 Kimberly St
Birmingham, MI 48009-1117
Phone (248) 646-4082

Other identifiers 4

IdentifierTypeStateIssuer
4326472OtherAETNA PIN
4749812MedicaidMI
1806316611OtherMIBCBS OF MICHIGAN PIN
2584455MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wswilkinson@WILKEC1846.srs-direct.com
Direct Messaging Address wwilkinson@osm.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820001088 MI Practitioner - Ophthalmology 8527003771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ophthalmology Specialists PLLCGroup PAC ID 3577557131, 26 clinicians

Practice addresses (Care Compare)

44555 Woodward Ave
Suite 203
Pontiac, MI 48341-5033
Phone (248) 334-4931

Merit-based Incentive Payment System (MIPS)

Final score
86.83 of 100Reported as group
Quality
96.82
Promoting interoperability
99
Improvement activities
40
Cost
60.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery183
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301406185MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ophthalmology Specialists, PLLC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Michigan Ophthalmology Specialists, PLLC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Wilkinson Eye Center Ophthalmology Current Accepting new patients

Locations

30150 Telegraph Rd
Ste 271
Bingham Farms, MI 48025

6875 Dixie Hwy
Clarkston, MI 48346
Phone (248) 625-2013

33400 6 Mile Rd
Livonia, MI 48152
Phone (734) 421-2020

44555 Woodward Ave
Ste 203
Pontiac, MI 48341
Phone (248) 334-4931

Interoperability endpoints

  • Direct secure messaging: wwilkinson@osm.intellechartdirect.net
  • Direct secure messaging: wswilkinson@wilkec1846.srs-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1124057690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 KIMBERLY ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091117",
            "telephone_number": "248-646-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "SUITE 203",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415033",
            "telephone_number": "248-334-4931",
            "fax_number": "248-858-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301406185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4326472",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4749812",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN PIN",
            "identifier": "1806316611",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2584455",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wswilkinson@WILKEC1846.srs-direct.com",
            "affiliation": "N",
            "address_1": "44555 Woodward Ave",
            "address_2": "Suite 203",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483415033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwilkinson@osm.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "44555 Woodward Ave",
            "address_2": "Suite 203",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483415033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.