Active NPI 1568455541 Individual Practitioner Male Practitioner

Dr. Michael E Wilson , MD

Internal Medicine • Rock Spring, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Wilson, MD is a certified Internal Medicine practicing in Rock Spring, GA. With approximately 37 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1989, Dr. Wilson delivers high-quality medical care to the local community at 8566C N HIGHWAY 27.

Dr. Wilson accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8566c N Highway 27

Rock Spring, GA 307392105

Telephone 7063753520

Fax 7063759310

Associated Practice Facility / Clinic

🏢 Primary Medical Consultants, Llc Facility NPI 1811167455

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Rock Spring, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Rock Spring, GA (4065 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (37 Years) 37 Yrs

Rock Spring Specialty Average (37.0 Years) 37.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	602	14	$2.91	$0.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	330	109	$249.32	$167.85
36415 Insertion of needle into vein for collection of blood sample	190	95	$15.50	$8.56
82962 Blood glucose (sugar) test performed by hand-held instrument	150	52	$8.61	$3.17
81002 Urinalysis, manual test	102	61	$10.88	$3.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	92	34	$50.00	$13.14
J0696 Injection, ceftriaxone sodium, per 250 mg	84	16	$40.00	$0.46
99213 Established patient office or other outpatient visit, typically 15 minutes	75	42	$200.00	$68.20
93000 Routine ekg using at least 12 leads including interpretation and report	60	42	$50.00	$13.10
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	55	15	$150.00	$98.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	38	$125.00	$36.59
J1100 Injection, dexamethasone sodium phosphate, 1 mg	52	13	$13.08	$0.11
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	38	18	$300.00	$175.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	15	$150.00	$49.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$221.79	$119.41
J1885 Injection, ketorolac tromethamine, per 15 mg	27	14	$17.96	$0.70
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	25	12	$48.80	$25.71
99448 Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes	13	12	$150.00	$50.69
82270 Stool analysis for blood to screen for colon tumors	11	11	$7.00	$4.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	422	129	$250.00	$168.32
36415 Insertion of needle into vein for collection of blood sample	255	110	$15.50	$8.40
82962 Blood glucose (sugar) test performed by hand-held instrument	188	59	$8.00	$3.21
81002 Urinalysis, manual test	134	67	$10.00	$3.41
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	118	26	$150.00	$97.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	107	45	$50.00	$13.07
J0696 Injection, ceftriaxone sodium, per 250 mg	102	17	$40.00	$0.52
99213 Established patient office or other outpatient visit, typically 15 minutes	99	46	$200.00	$67.95
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	89	21	$300.00	$177.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	45	$225.00	$119.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	45	$125.00	$35.64
93000 Routine ekg using at least 12 leads including interpretation and report	74	51	$50.00	$13.42
J1100 Injection, dexamethasone sodium phosphate, 1 mg	67	14	$20.00	$0.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	66	22	$150.00	$48.42
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	40	20	$50.00	$26.15
J1040 Injection, methylprednisolone acetate, 80 mg	28	19	$30.00	$11.88
99448 Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes	20	11	$150.00	$51.66
82270 Stool analysis for blood to screen for colon tumors	18	18	$7.00	$4.29
94664 Evaluation of use of breathing device	13	11	$40.00	$15.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	442	149	$238.69	$170.87
36415 Insertion of needle into vein for collection of blood sample	250	128	$15.50	$2.96
82962 Blood glucose (sugar) test performed by hand-held instrument	220	66	$7.98	$3.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	175	59	$50.00	$13.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	73	$110.69	$35.46
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	153	41	$150.00	$99.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	87	$186.32	$121.07
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	146	32	$300.00	$168.67
81002 Urinalysis, manual test	116	74	$10.01	$3.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	108	38	$150.00	$49.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg	88	21	$20.00	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	80	18	$40.00	$0.50
99213 Established patient office or other outpatient visit, typically 15 minutes	73	40	$181.51	$68.52
93000 Routine ekg using at least 12 leads including interpretation and report	72	53	$50.00	$13.37
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	62	25	$50.00	$27.03
20550 Injection into tendon or ligament	38	12	$149.47	$34.90
J1040 Injection, methylprednisolone acetate, 80 mg	38	26	$30.00	$11.12
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	29	14	$25.00	$0.02
94664 Evaluation of use of breathing device	19	14	$40.00	$15.08
82270 Stool analysis for blood to screen for colon tumors	18	18	$7.00	$4.32
J1885 Injection, ketorolac tromethamine, per 15 mg	18	15	$20.00	$0.59
94621 Pulmonary exercise testing	17	12	$112.94	$95.71
99448 Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes	15	11	$116.67	$52.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	434	150	$238.48	$172.88
36415 Insertion of needle into vein for collection of blood sample	336	157	$15.53	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	302	143	$187.25	$123.22
82962 Blood glucose (sugar) test performed by hand-held instrument	300	84	$8.11	$3.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	256	106	$100.39	$38.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	206	57	$34.95	$13.29
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	196	46	$149.87	$100.90
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	168	12	$179.91	$128.70
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	167	26	$298.20	$170.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	122	45	$111.48	$49.77
81002 Urinalysis, manual test	107	69	$7.79	$3.48
93000 Routine ekg using at least 12 leads including interpretation and report	94	59	$50.00	$13.92
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	85	35	$49.88	$27.59
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	78	51	$150.00	$32.05
J0696 Injection, ceftriaxone sodium, per 250 mg	74	16	$23.45	$0.53
J2010 Injection, lincomycin hcl, up to 300 mg	68	27	$15.00	$12.14
J1040 Injection, methylprednisolone acetate, 80 mg	54	30	$30.00	$10.67
99213 Established patient office or other outpatient visit, typically 15 minutes	45	32	$150.00	$77.28
J1100 Injection, dexamethasone sodium phosphate, 1 mg	43	15	$20.00	$0.15
94664 Evaluation of use of breathing device	36	28	$20.56	$15.00
J1885 Injection, ketorolac tromethamine, per 15 mg	18	13	$70.56	$0.49
93793 Anticoagulant management of patient taking warfarin	18	11	$100.00	$10.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$292.31	$212.17
82270 Stool analysis for blood to screen for colon tumors	11	11	$7.00	$4.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	600	25	$175.00	$130.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	258	25	$125.00	$88.43
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	205	46	$150.00	$103.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	202	108	$250.00	$139.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	99	$200.00	$103.23
36415 Insertion of needle into vein for collection of blood sample	136	82	$15.50	$2.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	126	40	$63.17	$50.71
82962 Blood glucose (sugar) test performed by hand-held instrument	108	56	$8.00	$3.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	32	$30.00	$13.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	52	$100.00	$26.28
81002 Urinalysis, manual test	37	29	$7.00	$3.45
99354 Prolonged office or other outpatient service first hour	36	27	$130.00	$126.28
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	30	17	$50.00	$28.20
93000 Routine ekg using at least 12 leads including interpretation and report	30	23	$50.00	$16.07
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$150.00	$59.56
99306 Initial nursing facility visit, typically 45 minutes per day	22	16	$200.00	$162.86
J1040 Injection, methylprednisolone acetate, 80 mg	16	11	$30.00	$11.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	478	34	$175.00	$131.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	164	$135.46	$102.79
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	281	38	$125.00	$88.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	264	134	$197.61	$138.87
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	202	57	$112.57	$103.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	136	54	$61.99	$50.59
82962 Blood glucose (sugar) test performed by hand-held instrument	128	61	$8.00	$3.21
36415 Insertion of needle into vein for collection of blood sample	102	60	$22.73	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	70	61	$127.36	$63.52
81002 Urinalysis, manual test	46	32	$7.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	26	$31.51	$15.67
99354 Prolonged office or other outpatient service first hour	35	23	$130.00	$126.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	26	13	$78.85	$66.58
G0008 Administration of influenza virus vaccine	23	23	$15.00	$14.70
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$25.00	$19.37
93000 Routine ekg using at least 12 leads including interpretation and report	21	16	$50.00	$15.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$69.09	$36.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	412	163	$145.00	$135.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	167	$110.00	$100.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	361	43	$125.00	$86.35
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	304	41	$175.00	$128.43
82962 Blood glucose (sugar) test performed by hand-held instrument	112	57	$8.00	$3.21
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	87	32	$50.00	$38.29
J0696 Injection, ceftriaxone sodium, per 250 mg	85	17	$15.00	$0.63
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	58	43	$60.00	$49.68
J1040 Injection, methylprednisolone acetate, 80 mg	46	34	$28.48	$12.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	46	20	$75.00	$65.33
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$83.33	$66.82
36415 Insertion of needle into vein for collection of blood sample	39	26	$15.50	$2.94
J1885 Injection, ketorolac tromethamine, per 15 mg	29	18	$25.00	$0.58
20610 Aspiration and/or injection of fluid from large joint	19	13	$100.00	$53.79
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	18	16	$105.00	$101.47
93000 Routine ekg using at least 12 leads including interpretation and report	17	13	$50.00	$15.61
99495 Transitional care management services for problem of at least moderate complexity	15	14	$200.00	$151.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$205.00	$195.03
J1030 Injection, methylprednisolone acetate, 40 mg	14	14	$25.00	$6.67
G0008 Administration of influenza virus vaccine	12	12	$15.00	$14.70
99496 Transitional care management services for problem of high complexity	12	11	$200.00	$195.23
90756 Vaccine for influenza for injection into muscle	12	12	$25.00	$22.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	416	157	$148.40	$129.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	313	155	$110.00	$95.90
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	264	42	$125.00	$82.47
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	191	46	$175.00	$122.02
82962 Blood glucose (sugar) test performed by hand-held instrument	178	91	$8.00	$3.15
J0696 Injection, ceftriaxone sodium, per 250 mg	85	21	$15.00	$0.65
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	64	20	$175.00	$122.41
J2010 Injection, lincomycin hcl, up to 300 mg	54	27	$14.86	$12.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	44	21	$125.00	$82.08
81002 Urinalysis, manual test	41	35	$7.00	$3.43
J1040 Injection, methylprednisolone acetate, 80 mg	38	26	$20.00	$11.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	35	17	$75.00	$62.20
93000 Routine ekg using at least 12 leads including interpretation and report	30	25	$50.00	$14.68
83036 Hemoglobin A1C level	29	28	$20.00	$13.05
90471 Administration of 1 vaccine	23	11	$15.00	$14.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	21	11	$10.00	$2.73
99496 Transitional care management services for problem of high complexity	18	15	$200.00	$193.66
99495 Transitional care management services for problem of at least moderate complexity	17	17	$200.00	$144.34
99306 Initial nursing facility visit, typically 45 minutes per day	16	14	$200.00	$150.65
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	12	$50.00	$7.74

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 032496

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00508802B (GA)

Commercial Insurance / Payer ID Bcbs Of Tennessee

146966 (TN)

Commercial Insurance / Payer ID Bcbs Of Georgia

293865 (GA)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2008

Registered at 8566C N HIGHWAY 27, ROCK SPRING, GA 307392105 (Tel: 7063753520)

📍

Updated Business Mailing Address April 14, 2008

Registered at PO BOX 219, ROCK SPRING, GA 307390219 (Tel: 7063753520)

👤

Provider Name / Credentials Updated April 14, 2008

Recorded as MICHAEL WILSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2008

Internal Medicine (License #032496 in GA)

🟢

Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568455541

Entity Type:

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

Enumeration Date: August 25, 2005

Last Update: April 14, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 219

Rock Spring, GA 307390219

Phone: 7063753520

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

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