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Active NPI 1053408591 Individual Practitioner Male Practitioner

Travis B Wilson , PA

Physician Assistant • Springfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Travis Wilson, PA is a certified Physician Assistant practicing in Springfield, OH. With approximately 20 years of clinical experience since completing medical education in 2006, Travis Wilson delivers high-quality medical care to the local community at 140 W MAIN ST.

Travis Wilson is affiliated with Wake Forest Emergency Providers and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

140 W Main St
Suite 100

Springfield, OH 455021312

Telephone 9373981066
Fax 9373981076
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +9.9 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
52 Specialists

Practicing in Springfield, OH (5376 Statewide)

Telehealth Adoption Rate
13.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (20 Years) 20 Yrs
Springfield Specialty Average (10.1 Years) 10.1 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
15 15 $1148.02 $132.73
99284 Emergency department visit with moderate level of medical decision making
14 14 $755.34 $98.30

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 2723

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License SC 1140

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pa License
2723 (OH)
Commercial Insurance / Payer ID Caqh
11949409 (OH)

Hospital & Practice Group Affiliations

Wake Forest Emergency Providers

1240 Huffman Mill Rd, Burlington, NC 272158700

Phone: 3367162255

Wake Forest Emergency Providers

8800 N Tryon St, Charlotte, NC 282623300

Phone: 7048636000

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Noshir Deboo , MD

Orthopaedic Surgery

NPI 1164609814

Doctor of Medicine (M.D.)

Dr. David Galluch , MD

Orthopaedic Surgery

NPI 1295778546

Doctor of Medicine (M.D.)

Melanie Phillips , NP

Nurse Practitioner - Acute Care

NPI 1316565989

Nurse Practitioner

Amie Beals , PA-C

Physician Assistant

NPI 1396730479

Physician Assistant (Certified)

Dr. Ian Thompson , MD

Orthopaedic Surgery

NPI 1619928371

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Physician Assistant (License #1140 in SC)

NPI Profile Active December 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2011

Registered at 140 W MAIN ST, SUITE 100, SPRINGFIELD, OH 455021312 (Tel: 9373981066)

📍
Updated Business Mailing Address December 23, 2011

Registered at 140 W MAIN ST, SUITE 100, SPRINGFIELD, OH 455021312 (Tel: 9373981066)

👤
Provider Name / Credentials Updated December 23, 2011

Recorded as TRAVIS WILSON, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2011

Physician Assistant (License #2723 in OH)

🟢
Initial NPI Registration & Enumeration October 06, 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: 1053408591
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

140 W Main St, Suite 100

Springfield, OH 455021312

Phone: 9373981066

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.