Active NPI 1760430953 Individual Practitioner Male Practitioner

Dr. Stephen E. Wilson , MD

Internal Medicine • Cincinnati, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Wilson, MD is a certified Internal Medicine practicing in Cincinnati, OH. With approximately 28 years of clinical experience since graduating from Ohio State University College Of Medicine in 1998, Dr. Wilson delivers high-quality medical care to the local community at 11550 WINTON RD.

Dr. Wilson is affiliated with Mercy Health Physicians Cincinnati 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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11550 Winton Rd

Cincinnati, OH 452402355

Telephone 5139248200

Fax 5139248201

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +5.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

593 Specialists

Practicing in Cincinnati, OH (5516 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (28 Years) 28 Yrs

Cincinnati Specialty Average (22.3 Years) 22.3 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	125	77	$192.73	$90.36
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	88	64	$32.00	$15.72
99213 Established patient office or other outpatient visit, typically 15 minutes	82	54	$134.91	$73.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$215.00	$41.70
G0008 Administration of influenza virus vaccine	28	27	$47.00	$30.41
90653 Vaccine for influenza for injection into muscle	24	24	$103.00	$81.82
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$522.75	$288.25
G0009 Administration of pneumococcal vaccine	12	12	$47.00	$30.51
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$276.00	$70.49

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	160	87	$191.00	$97.63
99213 Established patient office or other outpatient visit, typically 15 minutes	61	47	$134.00	$75.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$215.00	$44.28
G0008 Administration of influenza virus vaccine	44	42	$47.00	$29.36
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	39	37	$131.00	$75.38
G0009 Administration of pneumococcal vaccine	11	11	$47.00	$29.36
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$360.00	$282.01

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	150	88	$191.00	$95.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$215.00	$46.09
99213 Established patient office or other outpatient visit, typically 15 minutes	60	40	$134.00	$81.72
G0008 Administration of influenza virus vaccine	36	36	$47.00	$27.95
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	31	31	$131.00	$70.25

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	186	104	$188.76	$94.27
99213 Established patient office or other outpatient visit, typically 15 minutes	62	53	$133.60	$82.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$214.35	$49.89
G0008 Administration of influenza virus vaccine	44	44	$47.00	$16.19
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	39	39	$130.00	$66.43

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	194	110	$159.00	$104.86
99213 Established patient office or other outpatient visit, typically 15 minutes	106	73	$109.00	$71.87
G0008 Administration of influenza virus vaccine	45	44	$47.00	$16.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$182.00	$111.85
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	36	36	$129.00	$61.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$66.00	$43.79

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	246	121	$159.00	$102.98
99213 Established patient office or other outpatient visit, typically 15 minutes	138	85	$109.00	$70.58
G0008 Administration of influenza virus vaccine	44	41	$47.00	$15.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$182.00	$110.94
90653 Vaccine for influenza for injection into muscle	32	32	$100.00	$58.34
81002 Urinalysis, manual test	19	13	$7.00	$3.23
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	18	12	$87.00	$50.90
G0009 Administration of pneumococcal vaccine	13	13	$47.00	$15.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$66.00	$42.89
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$40.00	$16.95

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	255	116	$159.00	$102.90
99213 Established patient office or other outpatient visit, typically 15 minutes	162	81	$109.00	$69.55
G0008 Administration of influenza virus vaccine	42	40	$47.00	$19.30
90662 Influenza vaccine split virus, preservative free	39	37	$98.00	$50.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$182.00	$111.79
81002 Urinalysis, manual test	17	14	$7.00	$3.21
G0009 Administration of pneumococcal vaccine	16	16	$47.00	$19.30
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	12	12	$87.00	$51.48
G0444 Annual depression screening, 5 to 15 minutes	11	11	$30.00	$17.06

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	207	104	$159.00	$102.00
99213 Established patient office or other outpatient visit, typically 15 minutes	155	76	$109.00	$69.03
G0008 Administration of influenza virus vaccine	36	36	$47.00	$23.76
90662 Influenza vaccine split virus, preservative free	35	35	$86.00	$48.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$181.00	$110.51
G0009 Administration of pneumococcal vaccine	22	22	$47.00	$23.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$180.00	$95.23

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35-078262

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 35-078262

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200391060 (IN)

Medicaid State Provider ID

2357079 (OH)

Commercial Insurance / Payer ID Medicare Rr

P00919598 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians Cincinnati Llc

11550 Winton Rd, Cincinnati, OH 452402355

Phone: 5139248200

Mercy Health Physicians Cincinnati Llc

2446 Kipling Ave, Cincinnati, OH 452396650

Phone: 5135838500

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Jamesha Ford , DO

Family Medicine

NPI 1083241608

Doctor of Osteopathic Medicine (D.O.)

Dr. Anne Brassell , PsyD

Psychologist

NPI 1174052427

Doctor of Psychology (Psy.D.)

Dr. Melissa Jensen , PhD

Psychologist

NPI 1275942658

Doctor of Philosophy (Ph.D.)

Dr. Alaba Robinson , MD

Internal Medicine

NPI 1508870353

Doctor of Medicine (M.D.)

Dr. Emmett Roper , MD

Internal Medicine

NPI 1518926344

Doctor of Medicine (M.D.)

Annette Lavender , MSN, APRN-BC

Nurse Practitioner - Family

NPI 1710191713

Master of Science in Nursing, APRNBC

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2016

Registered at 11550 WINTON RD, CINCINNATI, OH 452402355 (Tel: 5139248200)

📍

Updated Business Mailing Address December 02, 2016

Registered at 11550 WINTON RD, CINCINNATI, OH 452402355 (Tel: 5139248200)

👤

Provider Name / Credentials Updated December 02, 2016

Recorded as STEPHEN WILSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2016

Internal Medicine (License #35-078262 in OH)

🟢

Initial NPI Registration & Enumeration May 04, 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: 1760430953

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: December 02, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11550 Winton Rd

Cincinnati, OH 452402355

Phone: 5139248200

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.