Deborah Dyne Wilson, PHYSICIAN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD26168 Issued in AZ

Practice address

10250 N 92ND St Ste 102
Scottsdale, AZ 85258-4517

Phone

(480) 860-4791

Fax

(480) 860-6314

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Deborah D Nemiro Other name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Obstetrics/Gynecology

Education

George Washington University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Deborah D Wilson M D P CGroup PAC ID 3870981756, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

15.04 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

50.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Deborah D Wilson M D P C

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
  • NPI 1811266331
  Medicare reassignment Care Compare group NPD Authorized official
• City of Hope Medical Group of Arizona LLC

  • Medical Oncology Physician
  • Goodyear, AZ
  • NPI 1609026806
  Medicare reassignment NPD

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1891742094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 N 92ND ST STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584517",
            "telephone_number": "480-860-4791",
            "fax_number": "480-860-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 N 92ND ST STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584517",
            "telephone_number": "480-860-4791",
            "fax_number": "480-860-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DEBORAH",
        "middle_name": "DYNE",
        "name_prefix": "Dr.",
        "credential": "PHYSICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "MD26168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "NEMIRO",
            "middle_name": "D",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea Wilson, NP
• Ashley Wilson
• Bridget Wilson, NP
• Carl Wilson, PA-C
• Charles Brady Wilson, PD.D.
• Deborah Lynn Wilson, M.D.
• Dorrie Wilson
• Emily Ann Wilson, OTR/L
• Hal B Wilson, M.D.
• Jennalee Wilson, LAC

• Obstetrics & Gynecology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.