DR. MICHAEL S WILSON II MD
NPI 1497771984
Psychiatry & Neurology - Psychiatry in Cincinnati, OH
NPI Status: Active since July 15, 2006
Contact Information
234 GOODMAN ST
CINCINNATI, OH
ZIP 45219
Phone: (513) 584-8577
Fax: (513) 584-5618
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- PECOS Enrolled
About MICHAEL WILSON
This page provides the complete NPI Profile along with additional information for Michael Wilson, a provider established in Cincinnati, Ohio with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1497771984 assigned on July 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 35 088361 (OH). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1497771984
- Provider Name
- DR. MICHAEL S WILSON II MD
- Other Name
- MICHAEL S WILSON JR. MD
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 234 GOODMAN ST CINCINNATI, OH 45219
- Location Phone
- (513) 584-8577
- Location Fax
- (513) 584-5618
- Mailing Address
- PO BOX 636256 CENTRAL CREDENTIALING CINCINNATI, OH 45263
- Mailing Phone
- (513) 245-3107
- Mailing Fax
- (513) 584-5618
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-15-2006
- Last Update Date
- 02-08-2018
- Code Navigator
A psychiatrist like Michael Wilson are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35 088361
- License State
- OH
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 364139 | OTHER (01) | OH | WELLCARE MEDICAID |
| 7339878 | OTHER (01) | OH | AETNA |
| 000000533008 | OTHER (01) | OH | ANTHEM |
| 000000224457 | OTHER (01) | OH | UNISON |
| 2683850 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Michael Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 45219 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $166.65
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $41.66
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 7 | 7 | 1 | 9 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 7 | 2 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 7 + 2 + 9 + 1 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1497771984 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780687079 | SUSAN KATHRYN COMTE CNM Individual | Advanced Practice Midwife | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-4081 |
| 1831189224 | HANAN KERR M.D. Individual | Internal Medicine (Cardiovascular Disease) | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-1000 |
| 1629048616 | ALAN THOMAS FLANIGAN M.D. Individual | Emergency Medicine | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 558-5281 |
| 1144297235 | DR. PETER C MUSKAT MD Individual | Surgery (Trauma Surgery) | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-4318 |
| 1316905300 | DR. GINA RENEE DORLAC MD Individual | Surgery (Trauma Surgery) | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-4318 |
| 1326006271 | LESLIE OLEKSOWICZ M.D. Individual | Internal Medicine (Medical Oncology) | 234 GOODMAN ST BARRETT CENTER CINCINNATI, OH 45219 (513) 584-6928 |
| 1780642652 | DR. JOSEFA MARIA RANGEL M.D. Individual | Internal Medicine | 234 GOODMAN ST BARRETT CENTER CINCINNATI, OH 45219 (513) 584-6928 |
| 1649238536 | JOHN RICHARD PANCOAST M.D. Individual | Internal Medicine (Medical Oncology) | 234 GOODMAN ST BARRETT CENTER CINCINNATI, OH 45219 (513) 584-6928 |
| 1417994880 | ACADEMIC PATHOLOGY ASSOCIATES INC Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-3832 |
| 1538100524 | WANDA O WILSON CRNA, PHD Individual | Nurse Anesthetist, Certified Registered | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 872-7388 |
| 1649211640 | ELEANOR JALIPA CANOS MD Individual | Anesthesiology | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 872-7388 |
| 1760423941 | GREATER CINCINNATI OB/GYN, INC. Organization | Obstetrics & Gynecology | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-4081 |
| 1679514855 | GREATER CINCINNATI PERINATAL ASSOCIATES, LLC Organization | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-4800 |
| 1386688026 | MARY ELIZABETH GORMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 872-7388 |
| 1730105628 | NANCY HEINK CNP Individual | Nurse Practitioner | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-3683 |
| 1598783110 | MRS. ANNE ETGES C.N.P. Individual | Nurse Practitioner (Women's Health) | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-8212 |
| 1346269859 | ELBERT J NELSON M.D. Individual | Obstetrics & Gynecology | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-4081 |
| 1699794032 | REGINA M REICHARD CRNA Individual | Nurse Anesthetist, Certified Registered | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 872-7388 |
| 1609880673 | YUKITAKA SHIZUKUDA MD Individual | Internal Medicine (Cardiovascular Disease) | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 584-1000 |
| 1194739474 | SAMATA R PAIDY MD Individual | Anesthesiology | 234 GOODMAN ST CINCINNATI, OH 45219 (513) 872-7388 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497771984, enumerated in the NPI registry as an "individual" on July 15, 2006
The provider is located at 234 Goodman St Cincinnati, Oh 45219 and the phone number is (513) 584-8577
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $166.65 with an average copayment of $41.66 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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