Eugene Wiley Wilson IV, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

02002999A Issued in IN

Practice address

84 Mallet Hill CT
Columbia, SC 29223-3126

Phone

(803) 509-0456

NPI assigned

Nov 1, 2005

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

Medicare fee-for-service enrollment

Enrolled in GA, CA, AL, FL, TX, NE6 enrollments

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 6

Specialty

Diagnostic Radiology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rome Radiology Group PAGroup PAC ID 8921091695, 23 clinicians

North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Plains Health Hospital, North Platte, NE, CCN 280065
• Adventhealth Redmond Hospital, Rome, GA, CCN 110168
• Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054
• Perkins County Health Services Hospital, Grant, NE, CCN 281356
• Cherry County Hospital Hospital, Valentine, NE, CCN 281344

Merit-based Incentive Payment System (MIPS)

Final score

97.36 of 100Reported as apm

Quality

90.02

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.84 of 100Reported as group

Quality

87.81

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• North Platte Nebraska Hospital Corporation

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Medicare reassignment Care Compare group NPD
• Rome Radiology Group, PA

  • Diagnostic Radiology Physician
  • Rome, GA
  • NPI 1952330615

  AL, FL, TX

  Medicare reassignment Care Compare group NPD
• Harbin Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Rome, GA
  • NPI 1679599088
  Medicare reassignment NPD
• Nchmd Inc

  • Hematology & Oncology Physician
  • Naples, FL
  • NPI 1831120195
  Medicare reassignment NPD
• Rome Imaging Associates

  • Nuclear Radiology Physician
  • Rome, GA
  • NPI 1013923820
  Medicare reassignment NPD
• Symphony Diagnostic Services No 1 LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hunt Valley, MD
  • NPI 1700865094

  GA

  Medicare reassignment NPD
• Harbin Clinic, LLC

  • Ambulatory Surgical Clinic/Center
  • Rome, GA
  • NPI 1447385158
  NPD
• Harbin Clinic, LLC

  • Ambulatory Surgical Clinic/Center
  • Cartersville, GA
  • NPI 1467016055
  NPD
• Nchmd, Inc

  • Durable Medical Equipment & Medical Supplies
  • Naples, FL
  • NPI 1033904651
  NPD
• North Platte Nebraska Hospital Corporation

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332

  Diagnostic Radiology

  NPD
• Quality Medical Imaging of Arizona, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Phoenix, AZ
  • NPI 1417124637
  NPD
• Quality Medical Imaging of Nevada LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Las Vegas, NV
  • NPI 1295992998
  NPD

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

• Cherry County Hospital

  • Critical Access Hospital
  • Valentine, NE
  • NPI 1144329152
  Care Compare affiliation
• Floyd Healthcare Management Inc

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166
  Care Compare affiliation
• North Platte Nebraska Hospital Corporation

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Care Compare affiliation
• North Platte Nebraska Hospital Corporation

  • Clinical Medical Laboratory
  • North Platte, NE
  • NPI 1902660509

  Hospital

  Care Compare affiliation
• Perkins County Hospital District

  • Critical Access Hospital
  • Grant, NE
  • NPI 1629086012
  Care Compare affiliation
• Redmond Park Hospital, LLC

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1508810565
  Care Compare affiliation

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1922099746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 MALLET HILL CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233126",
            "telephone_number": "803-509-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MALLET HILL CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233126",
            "telephone_number": "803-509-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "EUGENE",
        "middle_name": "WILEY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "02002999A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle D Wilson, DO
• David Wilson
• David Descartes Wilson
• Delmarie Elizabeth Wilson
• Ernest Daniel Wilson
• Georgann H Wilson, RPH
• Gerald A Wilson, M.D.
• Hali Alexis Wilson
• Holly Hall Wilson, M.A.
• Jaidyn Briana Wilson

• Diagnostic Radiology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.