Physician

David B. Wilson, MD

According to 2025 Medicare claims, David Wilson, MD (NPI: 1548247422) practices pathology in the Sioux Falls, SD-MN market, with the plurality of this provider's patient population coming from Minnehaha, SD. This provider's primary affiliated billing organization is GOPATH PATHOLOGY ASSOCIATES, SC (NPI: 1700152311; TIN: 454782763) and primary practice location at 60089-4501. Wilson is affiliated with the Steward National Care Network, Inc. (ACO ID: A3834), participating under the MSSP model.

Wilson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 832 traditional Medicare patients, billed 3,739 HCPCS/CPT codes, and received $368,399 in Medicare payments. The top billing code was G0416 (Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method). 2017 Part D data shows 16 prescription claims totaling $3,171 in drug costs. 2015 DME data shows 64 claims. Open Payments data shows 1 records totaling $97. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $87,431 to $368,399. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$184K$368K2015 Medicare payment: $87,431 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $94,271 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $99,038 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $82,556 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $94,813 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $78,336 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $72,507 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $26,564 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $368,399 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154883,077$87,431
20165243,145$94,271
20175333,558$99,038
20184283,136$82,556
20195653,683$94,813
20204652,886$78,336
20213442,799$72,507
2022N/RN/RN/R
202356411$26,564
20248323,739$368,399

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$44K$89K2015 Drug cost: $88,530 (USD; Tot_Drug_Cst)2016 Drug cost: $14,708 (USD; Tot_Drug_Cst)2017 Drug cost: $3,171 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015104560$88,530
20162467$14,708
2017N/R16$3,171
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$599$1.2K2015 Medicare payment: $1,197 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R64$1,197
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method410415$289
88344Special stained specimen slides to examine tissue, each multiplex procedure393943$139
88342Special stained specimen slides to examine tissue, initial procedure156199$71
88313Special stained specimen slides to examine tissue including interpretation and report75176$57
88305Pathology examination of tissue using a microscope, intermediate complexity236537$53

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$97BeiGene USA, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for David B. Wilson, MD?

Tedicare shows public-source Medicare data for David B. Wilson, MD (NPI 1548247422), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does David B. Wilson, MD have ACO affiliation data?

David B. Wilson, MD is shown with ACO affiliation data for Steward National Care Network, Inc. (MSSP, ACO ID A3834).

What billing organization is linked to David B. Wilson, MD?

David B. Wilson, MD is linked to GOPATH PATHOLOGY ASSOCIATES, SC (billing NPI 1700152311) in the available physician profile data.

Does David B. Wilson, MD have Open Payments data?

David B. Wilson, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.