NPIMap

Individual provider Active NPI

Daniel Wayne Wilson, M.D.

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1700977592
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13956 Issued in WV
Practice address
109 Mount Wood Rd
Wheeling, WV 26003-2632
Phone
(304) 233-2455
Fax
(304) 233-6073
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13956 WV Primary

Addresses

Primary practice location

109 Mount Wood Rd
Wheeling, WV 26003-2632

Mailing address

7 E Cove Ave
Suite B
Wheeling, WV 26003-5024
Phone (304) 242-4601

Other identifiers 2

IdentifierTypeStateIssuer
0051833000MedicaidWV
0633201MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000185 WV Practitioner - Family Practice 9931366275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians
Daniel W Wilson M D PLLCGroup PAC ID 4183881428, 3 clinicians

Practice addresses (Care Compare)

40 Medical Park
Suite 401
Wheeling, WV 26003-6392
Phone (304) 243-3880

7 E Cove Ave
Suite B
Wheeling, WV 26003-5083
Phone (304) 242-4601

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.59 of 100Reported as group
Quality
100
Improvement activities
0
Cost
78.63

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions26
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc Family Medicine CurrentSince Dec 18, 2016 Accepting new patients
Daniel W Wilson M D PLLC CurrentSince Oct 1, 2003 Accepting new patients
Wheeling Hospital Inc Past Accepting new patients

Locations

40 Medical Park
Ste 401
Wheeling, WV 26003
Phone (304) 243-3330

7 E Cove Ave
Ste B
Wheeling, WV 26003
Phone (304) 242-4601

109 Mount Wood Rd
#1
Wheeling, WV 26003

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

7 E Cove Ave
Wheeling, WV 26003
Phone (304) 233-5094

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1700977592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 E COVE AVE",
            "address_2": "SUITE B",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035024",
            "telephone_number": "304-242-4601",
            "fax_number": "304-242-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MOUNT WOOD RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032632",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DANIEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "13956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051833000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0633201",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.