Active NPI
Andrew Tyler Wilson, DPM
- Orthopaedic Foot and Ankle Surgery Physician
- Baltimore, MD
National Provider Identifier
1851875173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 9857
- Practice address
- 7602 Belair Rd
Baltimore, MD 21236-4088 - Phone
- (410) 661-3338
- NPI assigned
- Sep 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 0103301475 | VA | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 9857 | MD | Primary |
Addresses
Primary practice location
7602 Belair Rd
Baltimore, MD 21236-4088
Mailing address
650 Cedar Creek Grade Ste 108
Winchester, VA 22601-6453
Phone (540) 667-3338
Other practice location 1
650 Cedar Creek Grade Ste 108
Winchester, VA 22601-6453
Phone (540) 667-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Crossroads Dr
Suite 15
Owings Mills, MD 21117-5479
Phone (410) 363-4343
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 43 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 718 |
| Removal or shaving of skin growth | 249 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9857 | MD | MD | Orthopaedic Foot and Ankle Surgery Physician |
| 0103301475 | VA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiener and Daniels, DPM, PA | Single Specialty | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
20 Crossroads Dr
Ste 15
Owings Mills, MD 21117
Phone (410) 235-2345
Interoperability endpoints
- drandrewwilson@fcom-md.direct.office.nextgen.com
Organizations & group practices 2
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.
-
- Podiatric Clinic/Center
- Owings Mills, MD
- NPI 1518184936
Single Specialty
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1851875173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 CEDAR CREEK GRADE STE 108",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226016453",
"telephone_number": "540-667-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7602 BELAIR RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364088",
"telephone_number": "410-661-3338"
}
],
"practiceLocations": [
{
"address_1": "650 Cedar Creek Grade Ste 108",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226016453",
"country_code": "US",
"telephone_number": "540-667-3338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "ANDREW",
"middle_name": "TYLER",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-21",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "VA",
"license": "0103301475",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "MD",
"license": "9857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.