Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366050361 Individual Practitioner Female Practitioner

Dr. Iris M Wilson , MD

General Practice • Kissimmee, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Iris Wilson, MD is a certified General Practice practicing in Kissimmee, FL. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Wilson delivers high-quality medical care to the local community at 1502 VILLAGE OAK LN.

Dr. Wilson is affiliated with Orlando Family Physicians Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1502 Village Oak Ln

Kissimmee, FL 347466558

Telephone 4075203588
Fax 4079786757
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kissimmee, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -11.4 yrs vs City Avg
City Avg: 23.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
120 Specialists

Practicing in Kissimmee, FL (2490 Statewide)

Telehealth Adoption Rate
31.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
45.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (12 Years) 12 Yrs
Kissimmee Specialty Average (23.4 Years) 23.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 17 $228.24 $124.73

Medical Specialties & State Licenses

CMS Verified: 2025-08-14
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1344

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 21972

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 15150

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
111941200 (FL)

Hospital & Practice Group Affiliations

Orlando Family Physicians Llc

1502 Village Oak Ln, Kissimmee, FL 347466558

Phone: 4075203588

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Betsy Negron , MD

General Practice

NPI 1346499449

Doctor of Medicine (M.D.)

Marilucy Grau , ARNP

Nurse Practitioner - Family

NPI 1689096216

Advanced Registered Nurse Practitioner

Lester Guerra Martinez , ARNP

Nurse Practitioner - Family

NPI 1982070710

Advanced Registered Nurse Practitioner

Gabriel Martinez , APRN

Nurse Practitioner - Family

NPI 1992352710

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2025

General Practice (License #21972 in PR)

📍
Updated Business Mailing Address June 04, 2024

Registered at 425 W COLONIAL DR STE 303, ORLANDO, FL 328046863 (Tel: 3213326947)

📍
Updated Practice Location March 03, 2022

Registered at 1502 VILLAGE OAK LN, KISSIMMEE, FL 347466558 (Tel: 4075203588)

📍
Updated Business Mailing Address March 03, 2022

Registered at 6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL 328277592 (Tel: 3213326947)

👤
Provider Name / Credentials Updated March 03, 2022

Recorded as IRIS WILSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2022

General Practice (License #15150 in PR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

General Practice (License #21972 in PR)

👤
Provider Name / Credentials Updated October 05, 2020

Recorded as IRIS WILSON POLANCO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2020

General Practice (License #15150 in PR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2020

General Practice (License #21972 in PR)

NPI Profile Active July 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2020

Registered at CALLE GENARO CAUTINO 86 OESTE, GUAYAMA, PR 00784 (Tel: 7876341194)

📍
Updated Business Mailing Address July 16, 2020

Registered at 86 CALLE GENARO CAUTINO W, GUAYAMA, PR 007844736 (Tel: 7876341194)

👤
Provider Name / Credentials Updated July 16, 2020

Recorded as IRIS WILSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2020

General Practice (License #15150 in PR)

🟢
Initial NPI Registration & Enumeration July 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366050361
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2020
Last Update: August 14, 2025
Sole Proprietor: Yes

Mailing Address

425 W Colonial Dr Ste 303

Orlando, FL 328046863

Phone: 3213326947

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.