Richard Scott Wilson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41142 Issued in KY

Practice address

4620 Village Square Drive
Paducah, KY 42001-7501

Phone

(270) 442-8575

Fax

(270) 442-8783

NPI assigned

Jun 27, 2007

Last updated

Oct 7, 2019By 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 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

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

Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Wilson Medical Staffing PLLCGroup PAC ID 0345675005, 3 clinicians

MD Partners, PLLCGroup PAC ID 6204018617, 4 clinicians

Marshall County Hospital DistrictGroup PAC ID 3375581986, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall County Hospital Hospital, Benton, KY, CCN 181327
• Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116
• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
• Continuecare Hospital at Baptist Health Paducah Long-term care hospital, Paducah, KY, CCN 182008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richardwilson@ppcpsc.allscriptsdirect.net

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.

• Wilson Medical Staffing PLLC

  dba Wilson Medical Staffing

  • Internal Medicine Physician
  • Paducah, KY
  • NPI 1033757638
  Medicare reassignment Care Compare group NPD Authorized official
• Marshall County Hospital District

  dba Marshall Co Surgical & Medical Group

  • Family Medicine Physician
  • Benton, KY
  • NPI 1689778250

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• MD Partners, PLLC

  • Emergency Medicine Physician
  • Benton, KY
  • NPI 1902101124
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
  • NPI 1528433802

  Internal Medicine, KY

  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine, KY

  Medicare reassignment NPD
• Marshall County Hospital District

  dba Marshall County Surgical & Medical Group

  • Rural Health Clinic/Center
  • Benton, KY
  • NPI 1962873109
  NPD
• Baptist Health Medical Group Inc

  • Hospitalist Physician
  • Paducah, KY
  • NPI 1992108682

  Emergency Medicine

  NPD (past)
• Western Baptist Medical Ventures, Inc.

  dba Paducah Neurosurgical Center

  • Neurological Surgery Physician
  • Paducah, KY
  • NPI 1316017080
  NPD (past)

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

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation
• Continuecare Hospital at Baptist Health Paducah, Inc.

  dba ContinueCare Hospital at Baptist Health Paducah

  • Long Term Care Hospital
  • Paducah, KY
  • NPI 1093132300

  Long-term care hospital

  Care Compare affiliation
• Marshall County Hospital District

  • Critical Access Hospital
  • Benton, KY
  • NPI 1568528594
  Care Compare affiliation
• Pinelake Regional Hospital LLC

  dba Jackson Purchase Medical Center

  • Rural Acute Care Hospital
  • Mayfield, KY
  • NPI 1891892741
  Care Compare affiliation

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1952508715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 9100",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029100",
            "telephone_number": "270-442-8575",
            "fax_number": "270-442-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 VILLAGE SQUARE DRIVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017501",
            "telephone_number": "270-442-8575",
            "fax_number": "270-442-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "41142",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "654-L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "41142",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "41142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100050700",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVIDUAL",
            "identifier": "P00612564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CB8326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana Wilson, B.S. MHP
• Kalmece Tehran Wilson
• Lauradell Hogancamp Wilson, D.C.
• Melissa Wilson, APRN
• Michelle Ross Wilson, APRN
• Ronald L Wilson, M.D.
• Shannon Wilson, PHARM.D
• Thomas Wilson
• Charles F Winkler, MD
• Lindzy N Winsett

• Internal Medicine Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.