Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750910949 Individual Practitioner Female Practitioner

Dr. Mary Kate Wilson , MD

Ophthalmology • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mary Wilson, MD is a certified Ophthalmology practicing in St Augustine, FL. With approximately 6 years of clinical experience since graduating from University Of Florida College Of Medicine in 2020, Dr. Wilson delivers high-quality medical care to the local community at 206 ASHOURIAN AVE STE 215.

Dr. Wilson maintains professional affiliations with North Florida Surgeons Pa, Eye Associates Of Manatee, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, 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

206 Ashourian Ave Ste 215

St Augustine, FL 320925107

Telephone 9042960098
Associated Practice Facility / Clinic
🏢 Frank W Bowden Iii Md Facs Pa Facility NPI 1841287760

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in St Augustine, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -19.5 yrs vs City Avg
City Avg: 25.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
8 Specialists

Practicing in St Augustine, FL (1686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (6 Years) 6 Yrs
St Augustine Specialty Average (25.5 Years) 25.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $483.00 $163.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 13 $310.00 $124.73
99213 Established patient office or other outpatient visit, typically 15 minutes
12 11 $210.00 $88.33

Medical Specialties & State Licenses

CMS Verified: 2026-04-01
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL 166739

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 207WX0200X

State License FL ME166739

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Hospital & Practice Group Affiliations

Eye Associates Of Manatee, Llp

206 Ashourian Ave, St Augustine, FL 320925107

Phone: 9042960098

North Florida Surgeons Pa

11512 Lake Mead Ave, Jacksonville, FL 322565835

Phone: 9046422222

Secondary Practice Locations

7205 Bentley Rd

Jacksonville, FL 322567565

Phone: 9042960098

3 Shircliff Way Ste 134

Jacksonville, FL 322044785

Phone: 9042960098

1909 Beach Blvd Ste 101

Jacksonville Beach, FL 322502643

Phone: 9042960098

12341 Yellow Bluff Rd Ste 4

Jacksonville, FL 322262014

Phone: 9042960098

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1003592155

Doctor of Optometry

NPI 1023270378

Doctor of Optometry

NPI 1043434533

Doctor of Optometry

Roberto Cabrera , HAS

Hearing Instrument Specialist

NPI 1104113547
Kevin Cronin

Ophthalmology

NPI 1174880967
NPI 1255781464

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 01, 2026

Registered at 206 ASHOURIAN AVE STE 215, ST AUGUSTINE, FL 320925107 (Tel: 9042960098)

📍
Updated Business Mailing Address April 01, 2026

Registered at PO BOX 11407, BIRMINGHAM, AL 352468575 (Tel: 8643591308)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2024

Ophthalmology (License #166739 in FL)

NPI Profile Active April 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2020

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3522650239)

📍
Updated Business Mailing Address April 08, 2020

Registered at PO BOX 100277 1600 SW ARCHER ROAD RM 4101, GAINESVILLE, FL 326100001 (Tel: 3522650239)

👤
Provider Name / Credentials Updated April 08, 2020

Recorded as MARY WILSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 08, 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: 1750910949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2020
Last Update: April 01, 2026
Sole Proprietor: No

Mailing Address

Po Box 11407

Birmingham, AL 352468575

Phone: 8643591308

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.