Active NPI 1407035629 Individual Practitioner Female Practitioner

Dr. Misti H Wilson , MD

Surgery • Midlothian, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Misti Wilson, MD is a certified Surgery practicing in Midlothian, VA. With approximately 20 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2006, Dr. Wilson delivers high-quality medical care to the local community at 601 WATKINS CENTRE PKWY.

Dr. Wilson is affiliated with Bon Secours Medical Group Richmond Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include limited ultrasound scan of 1 breast, established patient outpatient office visit, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 Watkins Centre Pkwy
Suite 200

Midlothian, VA 231140002

Telephone 8045943130

Fax 8044236517

Associated Practice Facility / Clinic

🏢 Virginia Breast Center Inc Facility NPI 1982688818

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Midlothian, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -4.2 yrs vs City Avg

City Avg: 24.2 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Midlothian, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (20 Years) 20 Yrs

Midlothian Specialty Average (24.2 Years) 24.2 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
76642 Limited ultrasound scan of 1 breast	84	77	$263.00	$82.23
99213 Established patient office or other outpatient visit, typically 15 minutes	77	68	$216.56	$85.28
19301 Partial removal of breast	64	58	$1762.00	$628.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$615.37	$212.93
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	51	50	$1235.63	$222.93
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	47	43	$53.00	$31.26
76998 Ultrasonic guidance during surgery	42	41	$190.00	$43.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$320.62	$107.93
93702 Measurement of lymphedema extracellular fluid	28	28	$229.00	$118.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$320.89	$124.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76642 Limited ultrasound scan of 1 breast	94	87	$275.28	$86.84
99213 Established patient office or other outpatient visit, typically 15 minutes	66	60	$215.00	$89.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	61	61	$610.00	$212.06
19301 Partial removal of breast	47	46	$1799.49	$659.60
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	43	43	$1216.65	$220.71
76998 Ultrasonic guidance during surgery	37	37	$190.00	$59.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	28	$318.00	$126.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$318.00	$111.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$426.00	$177.73
19303 Total removal of breast	11	11	$2730.00	$902.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76642 Limited ultrasound scan of 1 breast	105	95	$268.01	$88.07
99213 Established patient office or other outpatient visit, typically 15 minutes	58	56	$215.00	$91.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$610.00	$222.21
19301 Partial removal of breast	50	45	$1797.24	$677.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	38	$318.00	$128.64
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	42	42	$1189.00	$229.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$318.00	$113.05
76998 Ultrasonic guidance during surgery	30	30	$190.00	$61.58
11104 Punch biopsy, first skin growth	12	12	$376.00	$114.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76642 Limited ultrasound scan of 1 breast	94	82	$268.60	$91.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	46	$318.00	$131.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	54	54	$610.00	$221.85
99213 Established patient office or other outpatient visit, typically 15 minutes	50	49	$215.00	$92.66
19301 Partial removal of breast	42	42	$1762.00	$665.19
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	36	36	$1222.03	$228.76
76998 Ultrasonic guidance during surgery	30	30	$190.00	$62.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$318.00	$114.00
14000 Repair of wound of trunk by transferring skin, 10.0 sq cm or less	11	11	$1410.00	$254.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	58	$215.00	$76.25
76642 Limited ultrasound scan of 1 breast	64	61	$267.11	$91.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$610.00	$211.37
19301 Partial removal of breast	26	25	$1829.77	$695.55
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	26	26	$1189.00	$232.32
76998 Ultrasonic guidance during surgery	25	25	$190.00	$62.71
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$220.00	$77.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$426.00	$148.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$318.00	$109.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	87	$215.00	$72.95
76642 Limited ultrasound scan of 1 breast	69	64	$263.00	$86.38
19301 Partial removal of breast	48	44	$1798.71	$646.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	48	48	$610.00	$207.30
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	48	48	$1263.31	$235.31
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$220.00	$76.52
76998 Ultrasonic guidance during surgery	24	24	$190.00	$64.19
19303 Total removal of breast	17	17	$3532.94	$1008.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$318.00	$108.52
36590 Removal of peripheral venous catheter for infusion	14	14	$594.00	$148.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$426.00	$146.08
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$1504.00	$640.56
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1043.00	$273.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$59.00	$18.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	79	$215.00	$69.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	69	69	$610.00	$202.87
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	39	39	$1219.49	$228.30
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$220.00	$74.47
19301 Partial removal of breast	36	35	$1762.00	$617.59
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	12	$59.00	$15.76
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1043.00	$263.20
19303 Total removal of breast	13	13	$2940.00	$963.07
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	13	12	$1504.00	$667.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	56	$215.00	$70.90
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	32	32	$1226.16	$228.20
19301 Partial removal of breast	28	25	$1762.00	$623.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$610.00	$203.25
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$220.00	$73.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$318.00	$100.62
76998 Ultrasonic guidance during surgery	16	16	$190.00	$62.67
19303 Total removal of breast	12	12	$2957.50	$1004.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$318.00	$105.77

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101254102

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License AR E-7047

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Ptan

C09633 (VA)

Hospital & Practice Group Affiliations

Bon Secours Medical Group Richmond Specialty Care Llc

5875 Bremo Rd, Richmond, VA 232261928

Bon Secours Medical Group Richmond Specialty Care Llc

8220 Meadowbridge Rd, Mechanicsville, VA 231162336

Phone: 8042882673

Bon Secours Medical Group Richmond Specialty Care Llc

5801 Bremo Rd, Richmond, VA 232261907

Phone: 8047646000

Bon Secours Medical Group Richmond Specialty Care Llc

1510 N 28th St, Richmond, VA 232235311

Bon Secours Medical Group Richmond Specialty Care Llc

8266 Atlee Rd, Mechanicsville, VA 231161806

Phone: 8045943130

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. James Pellicane , MD, FACS

Surgery

NPI 1093704454

Doctor of Medicine (M.D.), FACS

Dr. Leisha Elmore , MD

Surgery - Surgical Oncology

NPI 1114367794

Doctor of Medicine (M.D.)

Ida Vaclavik , NP

Nurse Practitioner - Family

NPI 1134408644

Nurse Practitioner

Sarah Peterson , PA-C

Physician Assistant

NPI 1194564989

Physician Assistant (Certified)

Dr. Polly Stephens , MD

Surgery

NPI 1477664415

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 01, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 01, 2013

Registered at 601 WATKINS CENTRE PKWY, SUITE 200, MIDLOTHIAN, VA 231140002 (Tel: 8045943130)

📍

Updated Business Mailing Address August 01, 2013

Registered at 601 WATKINS CENTRE PKWY, SUITE 200, MIDLOTHIAN, VA 231140002 (Tel: 8045943130)

👤

Provider Name / Credentials Updated August 01, 2013

Recorded as MISTI WILSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2013

Surgery (License #0101254102 in VA)

🟢

Initial NPI Registration & Enumeration October 25, 2007

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: 1407035629

Entity Type:

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

Enumeration Date: October 25, 2007

Last Update: August 01, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

601 Watkins Centre Pkwy, Suite 200

Midlothian, VA 231140002

Phone: 8045943130

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.