Deactivated NPI 1427073121 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Edward Wilson , OD

Optometrist • Fayetteville, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2006

NPI Deactivation Date September 04, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Wilson, OD was a registered Optometrist practicing in Fayetteville, GA. Throughout an active medical career spanning 18 years, Dr. Wilson provided care at the practice location at 320 N JEFF DAVIS DRIVE until profile deactivation on 2024-09-04.

Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient problem focused exam of visual system, removal of cataract with insertion of lens. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

320 N Jeff Davis Drive
Suite A

Fayetteville, GA 30214

Telephone 7704612144

Fax 7704615792

Associated Practice Facility / Clinic

🏢 Fayette Eye Center Pc Facility NPI 1881871226

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fayetteville, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.7 Yrs

State Avg: 22.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Fayetteville, GA (1498 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

14.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
92014 Established patient complete exam of visual system	92	92	$152.00	$123.33
92012 Established patient problem focused exam of visual system	45	39	$95.00	$87.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,080	12	$3.28	$1.18
92014 Established patient complete exam of visual system	157	156	$152.00	$125.22
92012 Established patient problem focused exam of visual system	113	74	$94.53	$88.78
92083 Exam of visual field with extended testing	15	14	$78.00	$62.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,802	17	$3.60	$1.31
92014 Established patient complete exam of visual system	172	170	$151.63	$126.57
92012 Established patient problem focused exam of visual system	149	97	$95.00	$89.60
92083 Exam of visual field with extended testing	17	16	$78.00	$62.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,260	13	$3.04	$1.13
92014 Established patient complete exam of visual system	193	192	$152.00	$128.08
92012 Established patient problem focused exam of visual system	167	118	$95.68	$89.88
92083 Exam of visual field with extended testing	18	18	$78.00	$64.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$65.00	$56.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	196	196	$152.00	$127.79
92012 Established patient problem focused exam of visual system	117	90	$94.97	$89.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	32	$65.00	$46.03
92083 Exam of visual field with extended testing	14	14	$78.00	$63.95
92004 New patient complete exam of visual system	11	11	$183.91	$151.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	814	12	$4.71	$1.94
92014 Established patient complete exam of visual system	205	203	$152.00	$126.85
92012 Established patient problem focused exam of visual system	125	98	$95.00	$87.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$65.00	$45.24
92083 Exam of visual field with extended testing	13	13	$78.00	$64.15
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$88.00	$74.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,077	23	$4.26	$1.64
92014 Established patient complete exam of visual system	209	207	$152.00	$119.78
92012 Established patient problem focused exam of visual system	168	131	$95.00	$83.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	37	$65.00	$41.68
92083 Exam of visual field with extended testing	19	18	$78.00	$60.92
92133 Imaging of optic nerve	12	12	$110.00	$34.91
92004 New patient complete exam of visual system	12	12	$182.00	$142.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	265	261	$152.00	$120.04
92012 Established patient problem focused exam of visual system	222	164	$95.00	$82.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	54	$65.00	$41.39
66984 Removal of cataract with insertion of lens	60	50	$295.00	$124.41
92083 Exam of visual field with extended testing	21	18	$78.00	$60.21
92133 Imaging of optic nerve	18	18	$109.44	$34.71
92250 Photography of the retina	16	16	$95.00	$63.78
92004 New patient complete exam of visual system	15	15	$182.00	$144.31

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA GA800

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Robert Caudelle , OD

Optometrist

NPI 1750303434

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated September 04, 2024

Record deactivated on September 04, 2024

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NPI Profile Active July 28, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 28, 2010

Registered at 320 N JEFF DAVIS DRIVE, SUITE A, FAYETTEVILLE, GA 30214 (Tel: 7704612144)

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Updated Business Mailing Address July 28, 2010

Registered at 320 N JEFF DAVIS DRIVE, SUITE A, FAYETTEVILLE, GA 30214 (Tel: 7704612144)

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Provider Name / Credentials Updated July 28, 2010

Recorded as MICHAEL WILSON, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2010

Optometrist (License #GA800 in GA)

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Initial NPI Registration & Enumeration July 13, 2006

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: 1427073121

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2006

Last Update: July 28, 2010

Deactivation Date: September 04, 2024

Update or Correct Profile

Mailing Address

320 N Jeff Davis Drive, Suite A

Fayetteville, GA 30214

Phone: 7704612144

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.