David Wilson (NPI# 1194748012, PAC ID# 2163504143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1194748012 |
| PAC ID by PECOS | 2163504143 |
| Professional Enrollment ID | I20080130000557 |
| Full Name | David Wilson |
| Organization Legal Name | DERMATOLOGY CONSULTANTS INC |
| Address |
1330 Oak Lane Suite 101 Lynchburg VA 24503 |
| Phone Number | 4348476132 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0749299352 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| Address | Phone | Organization |
|---|---|---|
| 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 | 4348476132 | DERMATOLOGY CONSULTANTS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 97% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 97% |
| Organization Legal Name | DERMATOLOGY CONSULTANTS INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley N Chieppa | Physician Assistant | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Kappa P Peddy | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Mark D Macgregor | Physician Assistant | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Brian D Jalbert | Physician Assistant | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Alisa Funke | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Carrell R Spann | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Soni S Carlton | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Street Address |
1330 OAK LANE SUITE 101 |
| City | LYNCHBURG |
| State | VA |
| Zip | 24503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley N Chieppa | Physician Assistant | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Kappa P Peddy | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Mark D Macgregor | Physician Assistant | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Brian D Jalbert | Physician Assistant | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Alisa Funke | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Carrell R Spann | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Soni S Carlton | Dermatology | Dermatology Consultants Inc | 1330 Oak Lane, Suite 101, Lynchburg, VA 24503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret L Osborne | Chiropractic | Rivermont Chiropractic Inc | 2915 Rivermont Ave, Lynchburg, VA 24503-1407 |
| Amanda B Anthony | Occupational Therapy | Centra Outpatient Rehabilitation Services LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Kelsey Thornton Wood | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Edward E Metzger | Anesthesiology | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Lapetra Whigham | Clinical Social Worker | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Kimberly Swanson | Certified Registered Nurse Anesthetist (crna) | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Maureen Mahland | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Mateusz Broszko | Psychiatry | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Jitendra R Annapareddy | Psychiatry | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Chelsea E St Clair | Clinical Social Worker | Centra Medical Group LLC | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 |
| Find all physicians in zip 24503 | |||
| City | LYNCHBURG |
| Zip Code | 24503 |
| Specialty | DERMATOLOGY |
| City + Specialty | LYNCHBURG + DERMATOLOGY |
Please comment or provide details below to improve the information on David Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.