NPI registry status
Active
2026 NPPES data Clinical Biochemical Genetics Physician NPI 1003985649 M.D.
Verify on CMS → William Wilson, M.D.
Clinical Biochemical Genetics Physician in Charlottesville, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 83 in Clinical Biochemical Genetics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
71
Medicare Part D claims · Clinical Biochemical Genetics Physician avg: 44
Generic prescribing
35%
generic claims · 65% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.4/100
▼ 4 pts below national avg 83.5 · Above neutral
Industry payments
$31.27
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
William Wilson, M.D. reported a CMS MIPS final score of 79.4/100 - below the 83.5 national average - and filed 71 Medicare Part D claims in 2024.
- 79.4/100
- MIPS score · -4 vs avg
- 71
- Part D claims, 2024
- 35%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Federal trust snapshot
What official records show about William Wilson, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1003985649), first enumerated 11/07/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 71 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 79.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$31.27 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1003985649 · Clinical Biochemical Genetics Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-BELOW · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1003985649
- ENUM-LEGACY 2006
- TAX-TRACE 83
- MIPS-BELOW 79.4/100
- RX-TRACE 71
- BOOK-THIN 4 in Virginia
- PHOTO-FINISH Dorothy Grange, MD · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Reena Jethva, M.…
Reena Jethva, M.D.
75.8 MIPS pts
- Dorothy Grange, …
Dorothy Grange, MD
79.3 MIPS pts
- Wilson · this pr…
Wilson · this provider
79.4 MIPS pts
- Yue Huang, PHD, …
Yue Huang, PHD, MBBS
80.5 MIPS pts
- Estrella Lizbeth…
Estrella Lizbeth Mellin Sanchez, M.D.
81.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
William Wilson, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
79 ≥ 26th percentile 26% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
✓
Board certification likely (heuristic, not verified)
William Wilson, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about William Wilson, M.D.?
Near national averagePrimary specialty
Clinical Biochemical Genetics Physician
Medicare Part D claims
71 61% vs specialty avg
MIPS final score
79.4/100 4.1 pts vs avg
Specialty distribution in Virginia
How Clinical Biochemical Genetics Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
William Wilson, M.D.'s 2023 MIPS final score plotted against the Clinical Biochemical Genetics Physician national average
- MIPS Final Score
- 79.4/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1003985649 |
|---|---|
| Specialty | Clinical Biochemical Genetics Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/07/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.3949
Final Score
Measured-score avg: 83.5
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability
Reporting: Group practice
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for William Wilson, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$31
Largest payer
Amicus Therapeutics, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Brand-heavy
William Wilson, M.D. - brand share 65.0%
Clinical Biochemical Genetics Physician average
65% brand-name claims vs 35% generic, on 71 2024 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 2024.
71
Total Claims
$2.7M
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 80.5
- Total Day Supply
- 2,247
- Brand vs Generic
- 65% brand / 35% generic
- Brand Drug Cost
- $2.7M
- Generic Drug Cost
- $371
Patient Demographics
- Average Patient Age
- 65.2 years
- Avg HCC Risk Score
- 2.57
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Lumizyme Alglucosidase Alfa | 14 |
| Cerdelga Eliglustat Tartrate | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Clinical Biochemical Genetics Physician in VA →
All providers in Virginia →
Compare specialties →
Clinical Biochemical Genetics Physician Overview
How William Wilson, M.D. fits within the Clinical Biochemical Genetics Physician landscape nationally.
83
Clinical Biochemical Genetics Physician Providers in US
26
States with Clinical Biochemical Genetics Physician
44
Avg Claims per Provider
William Wilson, M.D.'s 71 claims are above the specialty average of 44.
Nationwide Clinical Biochemical Genetics Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Wilson, both outside Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (79.4 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Clinical Biochemical Genetics Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Wilson.
One of 4 Clinical Biochemical Genetics Physician providers enrolled in Virginia, 3 are shown here.
Dr. Gulsen Akay
MD
Richmond, VA
Dr. Alice Basinger
MD
Norfolk, VA
Dr. Matthew Snyder
MD
Charlottesville, VA
Compare Clinical Biochemical Genetics Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is William Wilson, M.D.'s specialty? ▼
William Wilson, M.D. specializes in Clinical Biochemical Genetics Physician and practices in Charlottesville, Virginia. Credentials: M.D..
How much does William Wilson, M.D. prescribe under Medicare Part D? ▼
In 2024, William Wilson, M.D. wrote 71 Medicare Part D claims totaling $2.7M in drug costs for N/A beneficiaries.
What is William Wilson, M.D.'s Medicare quality score? ▼
William Wilson, M.D. has a CMS MIPS Final Score of 79.4/100 (Quality: 73.7, Cost: 57.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is William Wilson, M.D. located? ▼
William Wilson, M.D. is located at 1204 W MAIN ST, Charlottesville, VA, 22903. Phone: (434) 924-0123.
What is William Wilson, M.D.'s NPI number? ▼
William Wilson, M.D.'s National Provider Identifier (NPI) is 1003985649, issued on 11/07/2006.
Does William Wilson, M.D. prescribe more brand-name or generic drugs? ▼
William Wilson, M.D.'s prescribing is 65% brand-name and 35% generic drugs by claim count, with $2.7M in brand drug costs.
How many Clinical Biochemical Genetics Physician providers are there in the US? ▼
There are 83 Clinical Biochemical Genetics Physician providers across 26 states in the US. The average Clinical Biochemical Genetics Physician provider writes 44 Medicare Part D claims per year.
What drugs does William Wilson, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, William Wilson, M.D.'s most frequently prescribed drugs include Lumizyme, Cerdelga. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does William Wilson, M.D. accept Medicare? ▼
William Wilson, M.D. appears in CMS Medicare data with 71 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify William Wilson, M.D.'s credentials? ▼
William Wilson, M.D.'s NPI is 1003985649 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.