Jill Mallory Fadal Wilson, M.D.
Diagnostic Radiology Physician · Park City, UT
Jill Mallory Fadal Wilson, M.D. is a diagnostic radiology physician with a practice address in Park City, Utah, and NPI 1275928897, issued on Mar 31, 2015. Check the license (Utah 10964555-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Jill Mallory Fadal Wilson
- Credential
- M.D.
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License numbers
- 10964555-1205 UT
DR.0070579 CO
35561 NE
15751A WY
Self-reported in NPPES; status is on the state search - Practice location
- 1389 Center Dr Ste 200, Park City, UT 84098
- Phone
- (970) 484-4757
- Enumerated
- Mar 31, 2015
- Record last updated
- Mar 4, 2024
- Fax
- (970) 484-4759
- Medicare enrollment
- Enrolled (PECOS I20230807001252); accepts Medicare assignment
- Medical or professional school
- Texas Tech University Health Science Center School Of Medicine, 2015
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 327 in Utah → Look up another NPI →
Also registered at 1389 Center Dr Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jill Mallory Fadal Wilson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 10964555-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 84.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 3 group practices
- Fort Collins Radiologic Associates PCMidway, UT
- Uchealth Imaging Services LLCDenver, CO
- University OF Utah Adult ServicesSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jill Mallory Fadal Wilson among 327 diagnostic radiology physician records in Utah
Jill Mallory Fadal Wilson, M.D. is one of 327 diagnostic radiology physician records with a practice address in Utah. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 72% of them.
- NPI issued2015 · 72% of these records are older, 25% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2015 · median 2004 among the 227 with a school on file
- Record last updated2024 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Diagnostic Radiology Physician providers in Utah
There are 327 diagnostic radiology physician records in Utah.
All 327 in Utah → Every provider in Park City → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- John Arias, MDPark City, UT 840981649233214
- Farrell Forsberg, M.D.Salt Lake City, UT 841021184656407
- Matthew Holbrook, MDSalt Lake City, UT 841021962962878
- Richard Keller, M.D.Salt Lake City, UT 841021619292182
- Jordan Kimball, M.D.Salt Lake City, UT 841021386673135
- Brandon Park, M.D.Salt Lake City, UT 841021063675171
- Brian Pando, MDSalt Lake City, UT 841031386105062
- Caleb Sturge, MDSalt Lake City, UT 841031093197279
Common questions
What is Jill Mallory Fadal Wilson, M.D.'s NPI number?
Jill Mallory Fadal Wilson, M.D.'s National Provider Identifier (NPI) is 1275928897, issued on Mar 31, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Jill Mallory Fadal Wilson, M.D. located?
The NPPES record lists a practice address at 1389 Center Dr Ste 200, Park City, UT, 84098. Phone: (970) 484-4757. Providers update this record themselves, so call before visiting.
How can I verify Jill Mallory Fadal Wilson, M.D.'s license?
NPPES lists Utah license number 10964555-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Jill Mallory Fadal Wilson, M.D.'s MIPS final score?
The 2023 MIPS final score is 84.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.