2026 NPPES data Adult Medicine Physician NPI 1053486456 M.D.
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DAWN WILSON, M.D.

Adult Medicine Physician in LAKE CITY, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
36
Medicare Part D claims · 13 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

DAWN WILSON, M.D. filed 36 Medicare Part D claims in 2023 as a Adult Medicine Physician in LAKE CITY, Georgia, prescribing 58% generic.

36
Part D claims, 2023
58%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DAWN WILSON, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

36 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

DAWN WILSON, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DAWN WILSON, M.D.?

Quality data not reported

NPI registry status

Active

Issued 11/21/2006

NPI 1053486456

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

36 99% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

Specialty distribution in Georgia

How Adult Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Adult Medicine Physician share within Georgia

1. Adult Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Medicine Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Adult Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DAWN WILSON, M.D. appears in the CMS NPPES registry as a Adult Medicine Physician provider holding M.D. credentials at 5499 JONESBORO RD, LAKE CITY, GA, 30260, with a listed phone of (770) 856-8736. NPI 1053486456 was issued on 11/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WILSON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 36 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $1K in drug spend, split 42% brand-name and 58% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

5499 JONESBORO RD
LAKE CITY, GA 30260

Provider Details

NPI 1053486456
Specialty Adult Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 11/21/2006

Brand vs generic prescribing mix · Above average

DAWN WILSON, M.D. — brand share 42.0%
Specialty average (est.)

42% brand-name claims vs 58% generic, on 36 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

36
Total Claims
$1K
Total Drug Cost
13
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
36
Total Day Supply
918
Brand vs Generic
42% brand / 58% generic
Brand Drug Cost
$1K
Generic Drug Cost
$94

Patient Demographics

Average Patient Age
57.5 years
Avg HCC Risk Score
1.26

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Medicine Physician Overview

How DAWN WILSON, M.D. fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

DAWN WILSON, M.D.'s 36 claims are below the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as WILSON.

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DAWN WILSON, M.D.'s specialty?
DAWN WILSON, M.D. specializes in Adult Medicine Physician and practices in LAKE CITY, Georgia. Credentials: M.D..
How much does DAWN WILSON, M.D. prescribe under Medicare Part D?
In 2023, DAWN WILSON, M.D. wrote 36 Medicare Part D claims totaling $1K in drug costs for 13 beneficiaries.
Where is DAWN WILSON, M.D. located?
DAWN WILSON, M.D. is located at 5499 JONESBORO RD, LAKE CITY, GA, 30260. Phone: (770) 856-8736.
What is DAWN WILSON, M.D.'s NPI number?
DAWN WILSON, M.D.'s National Provider Identifier (NPI) is 1053486456, issued on 11/21/2006.
Does DAWN WILSON, M.D. prescribe more brand-name or generic drugs?
DAWN WILSON, M.D.'s prescribing is 42% brand-name and 58% generic drugs by claim count, with $1K in brand drug costs.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does DAWN WILSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DAWN WILSON, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAWN WILSON, M.D. accept Medicare?
DAWN WILSON, M.D. appears in CMS Medicare data with 36 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAWN WILSON, M.D.'s credentials?
DAWN WILSON, M.D.'s NPI is 1053486456 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology