Kelby Jon Wilson, MD
NPI 1164872115ActiveIndividual· Family Medicine· Grangeville, ID
Family Medicine (MD) in Grangeville, Idaho, trained at University of Nevada School of Medicine (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $469,876 for 6,143 claims, against $3,216 paid for services in 2024. Philips North America LLC reported $21.08 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1164872115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 20, 2016 |
| Last updated in NPPES | Sep 30, 2020 |
| Certified by provider | Sep 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | M-14749 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 72 across 12 procedure codes |
| Paid by Medicare | $3,216 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,143 · 12,446 30-day fills |
|---|---|
| Patients | 378 |
| Total drug cost | $469,876 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Nevada School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Family Practice |
Medical group
- Syringa General Hospital District C I FGrangeville, ID · 17 clinicians
Hospital affiliations
- St Joseph Regional Medical CenterLewiston, ID
- St Mary's HospitalCottonwood, ID
- Syringa General HospitalGrangeville, ID
Other facilities
- Syringa General Hospital HospiceHospice · Grangeville, ID
Industry payments (Open Payments)
- 2024$21.08 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Philips North America LLC | $21.08 | 1 |
What the 2024 payments were for
- Food and Beverage$21.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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