Kevin Ford Wilson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS015964 Issued in PA

Practice address

21911 US-119
Punxsutawney, PA 15767

Phone

(814) 938-2602

NPI assigned

Jun 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Brookville HospitalGroup PAC ID 3072579598, shared by 11 NPIs, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn Highlands Community Nurses Home health agency, Saint Marys, PA, CCN 397028
• Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
• Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
• Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
• Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199
• Mount Nittany Medical Center Hospital, State College, PA, CCN 390268

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwilson1@1285.direct.myezyaccess.com

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.

• Dubois Regional Medical Center

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1245410554
  Medicare reassignment Care Compare group NPD
• Brookville Hospital

  • Multi-Specialty Clinic/Center
  • Brookville, PA
  • NPI 1578733093

  Family Medicine

  Medicare reassignment NPD
• Brookville Hospital

  • Critical Access Hospital
  • Brookville, PA
  • NPI 1760452924
  Medicare reassignment NPD
• Brookville Hospital

  • Rural Health Clinic/Center
  • Brookville, PA
  • NPI 1184333742

  Family Medicine

  NPD
• Dubois Regional Medical Center

  • Pharmacy
  • Ridgway, PA
  • NPI 1366900458
  NPD
• Dubois Regional Medical Center

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657
  NPD (past)
• Elk Regional Health Center

  • Multi-Specialty Clinic/Center
  • Emporium, PA
  • NPI 1952554602

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brookville Hospital

  • Family Medicine Physician
  • Brookville, PA
  • NPI 1083762876

  Hospital

  Care Compare affiliation
• Brookville Hospital

  • Multi-Specialty Clinic/Center
  • Brookville, PA
  • NPI 1578733093

  Hospital

  Care Compare affiliation
• Brookville Hospital

  • Multi-Specialty Clinic/Center
  • Brookville, PA
  • NPI 1629697925

  Hospital

  Care Compare affiliation
• Brookville Hospital

  • Critical Access Hospital
  • Brookville, PA
  • NPI 1760452924
  Care Compare affiliation
• Community Nurses Home Health and Hospice, Inc.

  • Home Health Agency
  • St Marys, PA
  • NPI 1598725210
  Care Compare affiliation
• Dubois Regional Medical Center

  • Maternal & Fetal Medicine Physician
  • Du Bois, PA
  • NPI 1033213608

  Hospital

  Care Compare affiliation
• Dubois Regional Medical Center

  • Orthopaedic Surgery Physician
  • Du Bois, PA
  • NPI 1083727796

  Hospital

  Care Compare affiliation
• Dubois Regional Medical Center

  • Diagnostic Radiology Physician
  • Du Bois, PA
  • NPI 1093812406

  Hospital

  Care Compare affiliation
• Dubois Regional Medical Center

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657
  Care Compare affiliation
• Dubois Regional Medical Center

  • Neurological Surgery Physician
  • Dubois, PA
  • NPI 1184728727

  Hospital

  Care Compare affiliation
• Dubois Regional Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Du Bois, PA
  • NPI 1245341387

  Hospital

  Care Compare affiliation
• Dubois Regional Medical Center

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1245410554

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1386965812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21911 US-119",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "15767",
            "telephone_number": "814-938-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "PA",
            "postal_code": "158257228",
            "country_code": "US",
            "telephone_number": "814-849-0990",
            "fax_number": "814-849-0992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Hospital Ave Ste 315",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158011465",
            "country_code": "US",
            "telephone_number": "814-503-4305",
            "fax_number": "814-503-4307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KEVIN",
        "middle_name": "FORD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2021-11-05",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS015964",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Ward Weimer, D.D.S.
• Eden Noel White, CRNP-C
• Donna Marie Whitesell, LPN
• Whitling Eye Co.
• Benjamin Harold Whitling, O.D.
• Jerica Wineberg, LPC
• Kira Marie Witherow, LPN
• Randy James Witherow, CST-CFA
• Jendi Marie Zimmerman

• Family Medicine Physician in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.