Caleb Despain Wilson, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

11045A Issued in WY

Practice address

2210 King Blvd
Casper, WY 82604-3165

Phone

(307) 577-4240

Fax

(307) 577-0012

NPI assigned

Apr 19, 2012

Last updated

Apr 8, 2020By the provider in NPPES

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 names 1

• Caleb D. Wilson Professional name

Medicare fee-for-service enrollment

Enrolled in WY

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

Otolaryngology

Education

University of Pittsburgh School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyoming Otolaryngology, P.C.Group PAC ID 4082696570, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
• Sagewest Health Care Hospital, Riverton, WY, CCN 530008
• Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
• Hot Springs County Memorial Hospital Hospital, Thermopolis, WY, CCN 531304

Merit-based Incentive Payment System (MIPS)

Final score

98.74 of 100Reported as group

Quality

100

Improvement activities

40

Cost

95.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwilson@wyooto.emadirect.md

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

• Wyoming Otolaryngology, P.C.

  • Otolaryngology Physician
  • Casper, WY
  • NPI 1578511036
  Medicare reassignment Care Compare group NPD
• Wyoming Otolaryngology, P.C.

  • Hearing Instrument Specialist
  • Casper, WY
  • NPI 1568290161
  NPD

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

• Hot Springs County Hospital District

  • Critical Access Hospital
  • Thermopolis, WY
  • NPI 1861550642
  Care Compare affiliation
• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408
  Care Compare affiliation
• Riverton Memorial Hospital LLC

  dba SageWest Health Care

  • Rural Acute Care Hospital
  • Lander, WY
  • NPI 1245337286
  Care Compare affiliation
• Wyoming Medical Center Inc

  • General Acute Care Hospital
  • Casper, WY
  • NPI 1346332954
  Care Compare affiliation

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1881951440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KING BLVD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043165",
            "telephone_number": "307-577-4240",
            "fax_number": "307-577-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KING BLVD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043165",
            "telephone_number": "307-577-4240",
            "fax_number": "307-577-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CALEB",
        "middle_name": "DESPAIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WY",
            "license": "11045A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALEB",
            "last_name": "WILSON",
            "middle_name": "D.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bryanna Williams, RBT
• Mary Ellen Williams, NP-C
• Sharil L. Williams, M.S., LPC
• Katherine Willis
• Floyd Dale Wilmes II, OTRL
• Clayton Matthew Wilson, A.T., C., O.T.C.
• Gail Marie Wilson, RN, BSN
• Joanna Lee Wilson, PNP
• Martha Jo Wilson, FNP-C
• Nicole Marie Wilson

• Otolaryngology Physician in Casper, WY
• Providers in Casper, WY by specialty
• Otolaryngology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.